Indications, practice, and procedural outcomes of percutaneous transluminal coronary angioplasty in northern New England in the early 1990s. The Northern New England Cardiovascular Disease Study Group.
Indications, practice, and procedural outcomes of percutaneous transluminal coronary angioplasty in northern New England in the early 1990s. The Northern New England Cardiovascular Disease Study Group.
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20 世纪 90 年代初新英格兰北部经皮腔内冠状动脉成形术的适应症、实践和手术结果。
DOI：
10.1016/s0002-9149(96)00274-3
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Malenka,DJ
中科院分区：
文献类型：
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作者：
Malenka,DJ
我们从1989年10月1日至1993年12月31日对新英格兰北部经皮腔内冠状动脉成形术（PTCA）的适应症、实践和手术结果进行了一项前瞻性队列研究，以确定其与其他地区和登记的报告的比较。35名心脏病专家提供了在新罕布什尔州和缅因州的所有医院进行的12232例PTCA入院的数据，加上马萨诸塞州的1例，支持PTCA。患者平均年龄为61.1岁，男性占67.5%，38.5%患有多血管疾病。不稳定（45.6%）、稳定（22.9%）和梗死后心绞痛（21.0%）是该手术的常见适应症。在所有患者中，86.9%患有1支血管PTCA，其中65.7%患有多支血管疾病。血管造影成功率为90.4%，88.1%的患者成功扩张病灶≥1个，无不良临床事件。死亡、非致死性急性心肌梗死或冠状动脉旁路移植术的风险为5.7%。PTCA在新英格兰北部的实践和结果与其他地区登记处的报告有些相似，但与选定机构的登记处不同。我们认为PTCA在新英格兰北部是安全有效的。（中华医学杂志1996；78:260-265）
We conducted a prospective cohort study from October 1, 1989 to December 31, 1993 of the current indications, practices and procedural outcomes of percutaneous transluminal coronary angioplasty (PTCA) in Northern New England to determine how it compared with reports from other regions and registries. Thirty-five cardiologists contributed data on 12,232 admissions for PTCA performed at all hospitals in New Hampshire and Maine, plus 1 in Massachusetts, supporting PTCA. Mean patient age was 61.1 years, 67.5% were men, and 38.5% had multivessel disease. Unstable (45.6%), stable (22.9%), and postinfarction angina (21.0%) were common indications for the procedure. Of all patients, 86.9% had 1-vessel PTCA, including 65.7% of those with multivessel disease. Angiographic success was 90.4%, and 88.1% of patients had ≥ 1 lesion successfully dilated and no adverse clinical event. The risk of death, nonfatal acute myocardial infarction, or coronary artery bypass grafting was 5.7%. The practice and outcomes of PTCA in Northern New England were somewhat similar to reports from other regional registries but different from a registry of select institutions. We conclude that PTCA as performed in Northern New England is safe and effective. (Am J Cardiol 1996;78:260–265)