@article{oai:niigata-u.repo.nii.ac.jp:00021090, author = {小田, 弘隆 and 三井田, 努 and 戸枝, 哲朗 and 樋熊, 紀雄}, issue = {3}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Mar}, note = {The purpus of this study is to estimate the efficacy of percutaneous transluminal coronary angioplasty (PTCA) for chronic total coronary occlusion. In 41 patients without history of sustained myocardial infarction, overall initial PTCA success rate was 75.6% and was related to duration of occlusion (88.8% success rate for occlusions of less than 3 months, 50.0% after 4 months: p<0.05). Complications were minor: no patient died or requred emergency bypass operation, and 2 patients had small aeras of myocardial infarction. Exercise tolerance improved significantly in successful cases. In 6 patients with left anterior descending artery (LAD) occlusion as single vessl disease, 3 to 5 months after successful PTCA, ejection fraction improved significantly. End-diastolic volume index had no change, but end-systolic volume index decreased significantly, and regional wall motion improved significantly in areas of hyokinesis where LAD supplied. This study shows that initial success rate of PTCA for chronic total occlusion is acceptable with low risk of serious complications, and that exercise capacity and ventricular function improve in successful cases.}, pages = {171--175}, title = {4) 慢性虚血心筋の内科的治療 : 慢性完全閉塞冠動脈に対する経皮的冠動脈形成術(シンポジウム 虚血心疾患の治療と最近の話題, 第470回新潟医学会)}, volume = {106}, year = {1992} }