Repeat coronary angioplasty.

Repeat coronary angioplasty.
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重复冠状动脉成形术。

DOI:
10.1016/s0735-1097(84)80088-1
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发表时间:
1984
影响因子:
24
通讯作者:
R. Tankersley
R. Tankersley
中科院分区:
医学1区
文献类型:
--
作者:
B. Meier;S. King;A. Gruentzig;J. Douglas;J. Hollman;T. Ischinger;K. Galan;R. Tankersley

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重复经皮腔内冠状动脉成形术作为一种治疗模式的狭窄复发后,最初成功的血管成形术的潜力进行了检查的基础上,所有514例成功的血管成形术在埃默里大学1982年4月之前的数据。514例患者中有171例(33%)复发。95例患者尝试了再次血管成形术,与初次血管成形术相比,初次成功率显著较高(97 vs 85%,p > 0.001),并发症发生率较低(8 vs 15%,p > 0.10)。所有92例成功重复血管成形术的患者均提供了随访记录。26%(92例中的24例)发现第二次狭窄复发。7例患者进行了第三次血管成形术,6例手术成功,没有再狭窄。重复冠状动脉血管成形术提供了一种治疗再狭窄的方法。它被证明是非常成功和安全的,并产生了良好的长期效果。它还将血管成形术后记录持久成功的患者比例从63%增加到78%。
The potential of repeat percutaneous transluminal coronary angioplasty as a mode of therapy for recurrence of stenosis after initially successful angioplasty was examined on the basis of data on all 514 patients with successful angioplasty at Emory University before April 1982. Recurrence was found in 171 (33%) of the 514 patients. Repeat angioplasty was attempted in 95 patients with a significantly higher primary success rate (97 versus 85%, p > 0.001) and a lower complication rate (8 versus 15%, p > 0.10) than those of initial angioplasty. Follow-up documentation was available in all 92 patients with successful repeat angioplasty. A second recurrence of stenosis was found in 26% (24 of 92). A third angioplasty was performed in seven patients; six procedures were successful and there have been no recurrences of stenosis.Repeat coronary angioplasty provides a means to treat recurrence of stenosis. It proved to be very successful and safe and yielded good long-term results. It also increased the percent of patients with documented lasting success after angioplasty from 63 to 78%.
DOI: 10.1056/nejm198108133050706
发表时间: 1981-01-01
影响因子: 158.5
作者:
BLOCK, PC;MYLER, RK;FALLON, JT
通讯作者: FALLON, JT