Comparative study of percutaneous coronary intervention for chronic total occlusion in patients ≥ 75 years of age versus patients < 75 years of age / 中华老年医学杂志

Objective To compare clinical and angiographic outcomes of percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) lesions between patients ≥75 years of age and those

Immediate and long-term results of percutaneous coronary intervention for unprotected left main coronary artery stenoses / 中国介入心脏病学杂志

Objective To evaluate the immediate and late outcomes after percutaneous coronary intervetion (PCI) for unprotected left main coronary artery (LMCA) stenoses. Methods Between December 1992 and December 2002, directional coronary atherectomy (DCA) and/or stenting were performed for unprotected LMCA stenoses in 174 patients (121 DCA, 53 stenting procedures), including 85 patients clarified as coronary artery bypass grafting (CABG) ineligible or at high surgical risk. Clinical follow-up examinations were conducted on an outpatient basis at least once a month in the first 6-month after the procedure, and by regular visits or phone contact later. Follow-up coronary angiography was requested 3, 6 and 12 months after initial PCI. Results Procedural success was achieved in 158 patients (90.8%). In the 6-month follow-up, all-cause mortality was 9.8% (17/174); Cardiac mortality was 4.6% (8/174) and all cardiac deaths occurred in patients at high surgical risks; Target lesion revascularization (TLR) was performed in 34 of the 152 (22.4%) patients after angiography; The estimated cardiac death-free, death-free, cardiac event-free survival were 95.4%, 89.7%, 63.8% one year after PCI; 94.3%, 85.6%, 59.8% two year after PCI; and 94.3%, 84.5%, 57.5% three year after PCI, respectively. Conclusion PCI is feasible for unprotected LMCA disease, especially for ostial and mid-shaft lesions. Despite acceptable immediate results, major adverse cardiac events after PCI remain to be an unresolved issue.

Direct PTCA of acute myocardial infarction-the relationship between type of balloon catheter and reperfu-sion arrhythmia / 中国介入心脏病学杂志

The relationship between type of balloon catheter and reperfusion arrhythmia (RA) of 97 patients with acute myocardial infarction (AMI) ,who had received direct PTCA has been studied. The incidence of RA in common balloon catheter treated group is 55. 4%,while that in perfusion balloon catheter treated group is 34. 4% and the extent of RA is less severe. During direct PTCA, perfusion balloon catheter can reduce the incidence and severity of RA.