Goel P, Agarwal R, Kaul U, Wasir H S
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Int J Cardiol. 1995 Aug;51(1):1-4. doi: 10.1016/0167-5273(95)02393-b.
Eighty patients underwent percutaneous transluminal coronary angioplasty (PTCA) for 109 lesions. Comparison was done between two groups based on balloon compliance. The groups were comparable in their baseline characteristics. The mean inflation pressure used with compliant balloons was significantly higher; other procedural variables were not different. The occurrence rates of intimal tears and coronary dissections were not significantly different. The rates of side branch occlusions, myocardial infarction, redo PTCA or coronary stenting and death were low and similar, and likewise unaffected by balloon material. We conclude that the occurrence of adverse outcomes after PTCA is unrelated to balloon material compliance.
80例患者因109处病变接受了经皮腔内冠状动脉成形术(PTCA)。根据球囊顺应性将患者分为两组进行比较。两组的基线特征具有可比性。顺应性球囊使用的平均充盈压力显著更高;其他操作变量无差异。内膜撕裂和冠状动脉夹层的发生率无显著差异。分支闭塞、心肌梗死、再次PTCA或冠状动脉支架置入术及死亡的发生率较低且相似,同样不受球囊材料的影响。我们得出结论,PTCA术后不良后果的发生与球囊材料顺应性无关。