@article{oai:niigata-u.repo.nii.ac.jp:00016866, author = {田辺, 恭彦 and 伊藤, 正洋 and 田辺, 靖貴 and 鈴木, 薫 and 熊倉, 真}, issue = {1}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Jan}, note = {Percutaneous transluminal coronary angioplasty (PTCA) was attempted in 78 patients with angina pectoris and in 26 patients with acute myocardial infarction without on-site surgical stand-by from December 1995 to November 1996. The primary success defined as a residual stenosis < 50 % was achieved in 76 of 78 patients with elective PTCA (success rate:97.4 %). All patients received aspirin and warfarin before PTCA in the first 6 months, but all patients received aspirin and ticlopidine before PTCA in the last 6 months. We used coronary artery stents in 6 of 61 lesions (9.8 %) in the first 6 months, and in 18 of 60 lesions (30.0 %) in the last 6 months. We experienced no major complications included death, myocardial infarction, acute coronary occlusion out of the cathterization labolatories and emergent coronary artery bypass surgery. Angiographical restenosis defined as diameter stenosis > 50 % was recognized in 29 of 73 lesions (39.7 %). In patients with acute myocardial infarction, PTCA was successful in 26 of 26 patients (100 %). Only one patient (3.8 %) died in the first 4 weeks. PTCA can be safely performed in selected patients without on-site surgical back-up.}, pages = {37--43}, title = {当院における経皮的冠動脈形成術の成績}, volume = {112}, year = {1998} }