de Feyter P J, MacLeod D C, Foley D, de Jaegere P P, Serruys P W
Catheterization Laboratory, Erasmus University Rotterdam, The Netherlands.
Clin Cardiol. 1993 Aug;16(8):586-93. doi: 10.1002/clc.4960160806.
Coronary balloon angioplasty has become standard treatment for ischemic coronary artery disease. Major limitations of angioplasty are the inferior results obtained with unfavorable lesions, the occurrence of abrupt occlusion responsible for in-hospital mortality and morbidity, and the high restenosis rate at 6 months. New techniques for stents, laser, and atherectomy have been developed to overcome these limitations. Until now, although the initial results are encouraging, these new techniques have not as yet shown to be clearly superior to balloon angioplasty. However, due to the limitations of balloon angioplasty, further development of new techniques should be stimulated so that nonsurgical treatment of coronary artery disease will become safer, more effective, and applicable to a wider spectrum of coronary artery disease.
冠状动脉球囊血管成形术已成为缺血性冠状动脉疾病的标准治疗方法。血管成形术的主要局限性在于，对于病变情况不佳的患者，治疗效果较差；会出现导致住院死亡率和发病率的急性闭塞；以及6个月时的再狭窄率较高。为克服这些局限性，已开发出支架、激光和斑块旋切术等新技术。到目前为止，尽管初步结果令人鼓舞，但这些新技术尚未显示出明显优于球囊血管成形术。然而，由于球囊血管成形术存在局限性，应推动新技术的进一步发展，以使冠状动脉疾病的非手术治疗更安全、更有效，并适用于更广泛的冠状动脉疾病。
