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分叉冠状动脉狭窄减容术与扩张术的比较（来自CAVEAT I试验）。冠状动脉成形术与切除性旋切术试验-I。

A comparison of debulking versus dilatation of bifurcation coronary arterial narrowings (from the CAVEAT I Trial). Coronary Angioplasty Versus Excisional Atherectomy Trial-I.

作者信息

Brener S J, Leya F S, Apperson-Hansen C, Cowley M J, Califf R M, Topol E J

机构信息

Cleveland Clinic Foundation, Ohio 44195, USA.

出版信息

Am J Cardiol. 1996 Nov 1;78(9):1039-41. doi: 10.1016/s0002-9149(96)00531-0.

DOI:10.1016/s0002-9149(96)00531-0
PMID:8916485
Abstract

We compared the effectiveness of percutaneous transluminal coronary angioplasty and directional coronary atherectomy for the management of bifurcation coronary lesions in 1,012 patients enrolled in the Coronary Angioplasty Versus Excisional Atherectomy Trial-I. Directional coronary atherectomy was associated with less angiographic residual stenosis, but with a higher rate of side-branch closure and non-Q-wave myocardial infarction.

摘要

我们在纳入冠状动脉成形术与切除性斑块旋切术试验-I的1012例患者中，比较了经皮腔内冠状动脉成形术和定向冠状动脉斑块旋切术治疗冠状动脉分叉病变的有效性。定向冠状动脉斑块旋切术与血管造影残余狭窄较少相关，但与较高的分支闭塞率和非Q波心肌梗死发生率相关。

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