Voudris V, Antonellis J, Salachas A, Ifantis G, Sionis D, Margaris N, Koroxenidis G
Hemodynamic and Interventional Cardiology Unit, General Hospital of Athens, Evangelismos, Greece.
Angiology. 1993 Dec;44(12):933-7. doi: 10.1177/000331979304401202.
Coronary angioplasty was performed in 37 elderly patients (> sixty-eight years) with unstable or stable angina, refractory to medical treatment. History of myocardial infarction was present in 38% and of previous bypass surgery in 5% of patients. Coronary angiography revealed single-vessel disease in 22 (59%) and multivessel disease in 15 (41%) of patients. The mean left ventricular ejection fraction was 53 +/- 17%. Percutaneous transluminal coronary angioplasty (PTCA) was successful in 92% of patients; there were two angioplasty failures and 1 acute occlusion leading to Q wave myocardial infarction. In patients with multivessel disease complete revascularization was achieved in 33%. Follow-up data (21.29 +/- 9.23 months) are available in all patients with primary angiographic success. There was 1 death. Seventy-nine percent of patients had an improved anginal status, and repeat PTCA was performed in 2 patients because of clinical recurrence. Thus, coronary angioplasty is a safe and efficacious method of revascularization in symptomatic patients over the age of sixty-eight years.
对37例（年龄>68岁）药物治疗无效的不稳定型或稳定型心绞痛老年患者实施了冠状动脉血管成形术。38%的患者有心肌梗死病史，5%的患者有既往搭桥手术史。冠状动脉造影显示，22例（59%）患者为单支血管病变，15例（41%）患者为多支血管病变。左心室平均射血分数为53±17%。92%的患者经皮腔内冠状动脉血管成形术（PTCA）成功；有2例血管成形术失败，1例急性闭塞导致Q波心肌梗死。多支血管病变患者中33%实现了完全血运重建。所有首次血管造影成功的患者均有随访数据（21.29±9.23个月）。有1例死亡。79%的患者心绞痛状况改善，2例患者因临床复发接受了再次PTCA。因此，冠状动脉血管成形术是68岁以上有症状患者安全有效的血运重建方法。
