Dupouy P, Belarbi A, el Ghalid A, Aptecar E, Teiger E, Dubois-Rande J L
Unité d'Hémodynamique et de Cardiologie Interventionnelle, CHU Henri-Mondor, Créteil.
Ann Cardiol Angeiol (Paris). 1995 Oct;44(8):433-7.
The growth of transcutaneous coronary angioplasty in the 1980s and early 1990s was particularly rapid, as about 42,000 procedures were performed in France in 1994. This treatment for coronary atherosclerosis now constitutes a valid alternative to surgical or medical treatment. New treatment modalities for coronary atherosclerosis have been added to the original balloon technique. Two types of coronary angioplasty can now be performed depending either by flattening and crushing the atheroma against the arterial wall (balloon, stent) or by destroying and fragmenting it (Rotablator, Laser, directional atherectomy). Among these new instruments, vascular stents have reduced the incidence of restenosis and have improved the safety of interventional cardiology, while others, such as Rotablator and Laser, allow the treatment of lesions inaccessible to the balloon. Directional atherectomy, by allowing specific excision, will occupy an important place in future developments of interventional cardiology, which is still a relatively young specialty.
20世纪80年代和90年代初，经皮冠状动脉腔内血管成形术发展尤为迅速，1994年法国约进行了42000例该手术。这种治疗冠状动脉粥样硬化的方法如今已成为手术或药物治疗的有效替代方案。针对冠状动脉粥样硬化的新治疗方式已被添加到最初的球囊技术中。现在可以进行两种类型的冠状动脉血管成形术，一种是通过将动脉粥样硬化斑块压平并挤压到动脉壁上（球囊、支架），另一种是通过破坏和破碎斑块（旋切刀、激光、定向斑块旋切术）。在这些新器械中，血管支架降低了再狭窄的发生率，提高了介入心脏病学的安全性，而其他器械，如旋切刀和激光，可用于治疗球囊无法触及的病变。定向斑块旋切术通过进行特定切除，在介入心脏病学这一仍相对年轻的专业的未来发展中将占据重要地位。
