所有责任者
:
霍勇 高炜 陈星 刘梅林 洪涛 朱国英
标识号
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ISSN : 0254-9026 CN : 11-2225/R
关键词
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血管成形术.经腔.经皮冠状动脉 冠状动脉疾病
语种
:
Chinese 汉语
分类
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中图分类 : R541.4
参考文献
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1TalyJD.Progressininterventionalcardiology.JIntCardiol,1996,9:413-416.2中华心血管杂志编委会.全国冠心病介入性治疗并发症专题讨论会纪要.中华心血管杂志,1994,22:329-332.3杨天和,NolB,MichelsB,等.老年冠心病患者经皮冠脉腔内血管成形术结果评价.中华老年医学杂志,1996,15:26-29.4BonnierH,deVriesC,MichelsR,etal.Initialandlong-termresultsofcoronaryangioplastyandcoronarybypasssurgeryinpatientsof75orolder.BrHeartJ,1993,70:122-125.5TenBergJM,VoorAA,SutorpMJ,etal.Long-termresultsaftersuccesfulpercutaneoustransluminalcoronaryangioplastyinpatientsover75yearsofage.AmJCardiol,1996,77:690-695.6SchatzRA,BaimDS,LeonM,etal.ClinicalexperiencewiththePalmaz-Schatzcoronarystentinitialresultsofamulticenterstudy.Circulation,1991,83:148-150.7ChristopheB,Jean-LucB,EricVanB,etal.Six-monthangiographicoutcomeaftersuccessfulrepeatpercutaneousinterventionforin-stentrestenosis.Circulation,1998,97:318-326
摘要
目的评价老年冠心病患者经皮冠状动脉(冠脉)腔内血管成形术(PTCA)的临床疗效。方法将236例老年(共297支冠脉血管)和360例非老年(共451支冠脉血管)冠心病患者接受PTCA的结果作对比分析。结果老年患者的冠脉病变特点和发病血管支数与非老年患者差异无显著性;老年组血管扩张病例成功率为95.4%,随着近年冠脉内支架置入率的增加,主要的PTCA并发症较前降低;以上结果与非老年组比较差异均无显著性。结论对于老年冠心病患者,PTCA是一种有效而安全的冠脉血运重建方法。
摘要
[Objective To evaluate the outcome of percutaneous transluminal coronary angioplasty (PTCA) in senile patients with coronary heart disease. Methods The results of PTCA in 236 cases (297 vessels) of senile patients who received the procedure from 1994 to 1997 were analysed and compared with those in 360 cases (451 vessels) of a non senile group. Results There were not much angiographic difference between the senile and non senile group. The clinical success rate of PTCA in senile group was 95 4 which was comparable with a rate of 94 7 in the non senile patients. With the increase of cases of stent implantation in recent years, the overall frequency of major complications were less than before in both groups and procedure failure rate was decreased year by year.The results did not differ significantly from those obtained in non senile group. Conclusions It is effective and safe for senile patients to receive PTCA procedure.]