Coronary angioplasty--long-term follow-up results and detection of restenosis: guidelines for aviation cardiology. A European view.
Coronary angioplasty--long-term follow-up results and detection of restenosis: guidelines for aviation cardiology. A European view.
复制标题
冠状动脉血管成形术——长期随访结果和再狭窄检测：航空心脏病学指南。
DOI：
10.1093/eurheartj/13.suppl_h.76
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发表时间：
1992
影响因子：
39.3
通讯作者：
A. Breeman
中科院分区：
文献类型：
--
作者：
P. Serruys;A. Breeman
美国和西欧进行的介入手术呈指数增长。令人着迷的技术正在蓬勃发展：一些仍处于研究阶段，另一些已经证明了它们的价值。这些干预措施的临床适应症正在迅速发展，但仍不清楚，并且在许多情况下与心脏手术存在重叠。目前尚不清楚多支冠状动脉疾病的最佳治疗方式（手术或血管成形术）是什么；心脏介入治疗有多种技术和适应症。本文讨论了经皮冠状动脉腔内成形术（PTCA）治疗稳定型和不稳定型心绞痛、多支/单支血管疾病、完全和不完全血运重建以及一些特殊干预措施（如大隐静脉旁路移植术和支架置入术）的长期结果。因此，尝试确定这些技术及其适应症的相对优点以确定它们各自在治疗库中的定位非常重要。非随机研究的长期随访分析对于了解介入心脏病学领域取得的进展至关重要。本文还将讨论接受 PTCA 的不同亚组患者的未来心脏并发症问题。讨论再狭窄检测方法以促进相对风险分配。最后，将提出航空心脏病学指南。
Interventional procedures carried out in the USA and Western Europe are growing exponentially. Fascinating techniques are blossoming: some are still at an investigational stage, others have already proven their value.The clinical indications for these interventions are rapidly evolving but still unclear and in many cases an overlap exists with cardiac surgery. It is still unknown what is the best modality of treatment (surgery or angioplasty) for multivessel coronary artery disease; there are a variety of techniques and indications for cardiac interventions. This paper discusses the long-term results of percutaneous transluminal coronary angioplasty (PTCA) procedures for stable and unstable angina, multivessel/single vessel disease, complete and incomplete revascularization and some special interventions such as saphenous vein bypass graft angioplasty and stenting. It is therefore of major importance to try to establish the relative merits of these techniques and their indications to determine their respective niche in the therapeutic arsenal. Longterm follow-up analysis of non-randomized studies is essential to understand the progress made in the field of interventional cardiology. This paper will also address the future as regards cardiac complications for different subgroups of patients who have had a PTCA. Restenosis detection methods are discussed to facilitate a relative risk appropriation. Finally, guidelines for aviation cardiology will be proposed.