Comparative Results of Coronary Intervention in Patients With Variant Angina Versus Those With Non-Variant Angina.
スポンサーリンク
概要
- 論文の詳細を見る
Coronary angioplasty is reported to be feasible and safe in patients with coronary spasm and fixed stenosis. However, the long-term results are not positive. We compared the results of coronary angioplasty in 20 patients with variant angina versus 17 patients with non-variant angina among 231 consecutive patients with vasospastic angina. Coronary angioplasty was performed successfully in all 37 patients without any complications. Stenting for coronary dissection or recoil was performed in 8 patients, directional coronary atherectomy was selected for ostial lesion of left anterior descending coronary artery stenosis in 2 patients, and standard balloon angioplasty was performed in 27 patients. There were no clinical differences between the two groups. The restensois rate in patients with variant angina was similar to that in patients with non-variant angina (30% vs 29%, ns). There was no relationship between the provoked spasm and restenosis. During the follow-up period, no major complications were observed in patients with variant angina or those with non-variant angina. In conclusion, full medication with calcium channel antagonists and isosorbide dinitrate, and treatment by coronary angioplasty including the use of new devices, were useful treatments for patients with coronary vasospasm and significant organic stenosis. There was no difference concerning the results of coronary intervention between the patients with variant angina and those with non-variant angina.
- International Heart Journal刊行会の論文
著者
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Watanabe Kouki
Department Of Biofunctional Science Faculty Of Agriculture And Life Science Hirosaki University
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Kondou Tadashi
Department of Cardiology, Takanoko Hospital
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Yano Kazuo
Department of Cardiology, Takanoko Hospital
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Ochi Takaaki
Department of Cardiology, Takanoko Hospital
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Ochi Takaaki
Department Of Cardiology Takanoko Hospital
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Sueda Shozo
Department Of Cardiology Ehime Prefectural Niihama Hospital
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Ochi Naoto
Department Of Cardiology Kita Medical Association Hospital
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Uraoka Tadao
Department Of Cardiology Kita Medical Association Hospital
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Kawada Hiroyuki
Department Of Cardiology Ehime Prefectural Imabari Hospital
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Kondou Tadashi
Department Of Cardiology Ehime Prefectural Imabari Hospital
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Mineoi Kazuaki
Department Of Cardiology Takanoko Hospital
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Yano Kazuo
Department Of Cardiology Takanoko Hospital
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Hayashi Yutaka
Department Of Cardiology Uwajima Social Insurance Hospital
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Suzuki Jun
Department Of Cardiology Saiseikai Saijo Hospital
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KAWADA Hiroyuki
Department of Applied Mechanics and Aerospace Engineering, Waseda University
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Watanabe Kouki
Department of Cardiology, Saiseikai Saijo Hospital
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Mineoi Kazuaki
Department of Cardiology, Saiseikai Saijo Hospital
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