Frombach R, Schwartau M, Seger W
Gesundheitswesen. 1997 Jul;59(7):447-51.
Intracoronary stents have improved the safety and efficacy of transcatheter cardiovascular therapy. They can reverse acute vessel or graft closure during coronary intervention. Certain devices reduce the rate of restenosis and need for repeat interventional procedures compared with PTCA alone in selected patients. However caution is strongly recommended in generalising these findings to other situations than for which coronary stenting is considered. The rapid proliferation and application of this technique to very large groups of patients without supporting data should be reconsidered. Intermediate and longterm follow up date are not yet available.
冠状动脉内支架改善了经导管心血管治疗的安全性和有效性。它们可以在冠状动脉介入治疗期间逆转急性血管或移植物闭塞。与单纯PTCA相比,某些装置在特定患者中可降低再狭窄率和重复介入治疗的必要性。然而,强烈建议谨慎地将这些发现推广到冠状动脉支架置入术适用情况以外的其他情况。在没有支持数据的情况下,将这项技术迅速推广并应用于大量患者的做法应重新考虑。目前尚无中期和长期随访数据。