老年患者经皮冠状动脉腔内成形术：近期疗效及长期随访结果

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K Reynen1, B Kunkel, K Bachmann

  • 1Department of Internal Medicine II, University of Erlangen-Nürnberg, Germany.

European heart journal
|December 1, 1993
PubMed

125例年龄在75至90岁之间（79名男性，46名女性，平均年龄78 ± 3岁）接受经皮冠状动脉腔内成形术（PTCA）治疗的患者急性结果及长期随访结果报告如下，其中主要为不稳定型心绞痛患者（102例）。108例患者中96例（89%）成功完成PTCA；17例完全闭塞病变中8例（47%）成功开通。38例为多支血管或多处病变PTCA，因此以病变计PTCA成功率更高（91%）。主要并发症发生于7例患者（5.6%），包括1例与手术相关的死亡。住院期间病死率为3%，均发生于伴有不稳定型心绞痛且手术失败的患者。平均随访时间为27 ± 16个月（2至82个月），期间另有13例患者死亡：其中10例死于心血管原因，3例死于癌症。随访期间，3例发生非致死性心肌梗死，3例接受择期冠状动脉旁路移植术，26例接受重复PTCA治疗。在93例存活患者中，经首次成功手术及必要时再次干预后，87例患者心绞痛分级为I级或II级，仅6例为III级。我们得出结论：老年患者PTCA的成功率与年轻患者相当，且成功的手术可持久缓解症状。 经皮冠状动脉腔内成形术，老年患者，不稳定型心绞痛，长期随访，手术成功率，心绞痛分级

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