[Angioplasty of coronary arteries in chronic coronary insufficiency].
During the past five years transluminal angioplasty of the coronary arteries has considerably developed due to the improvement of the technology. Beside one-vessel lesions, its indications have been extended to multiple vessel pathology, chronic obturation and lesions found in patients who had previously undergone aorto-coronary bypass, as well as in those who had unstable angina, or in the elderly. Despite the quality of the initial results and the relatively low accident rate, this method has raised numerous problems: (I) unintentional optimization of the results, (II) unexplained postangioplastic incidents, (III) high rate of early restenosis, (IV) encouraging long-term results but marked by numerous coronary "events", (V) increasing cost of the procedure, (VI) disappointing resumption of work and, above all, (VII) lack of good randomized trials to establish the exact indications of angioplasty in the treatment of chronic heart failure. The new techniques of cardiocirculatory assistance or excision of atheroma have only started to be evaluated.
Cherrier
F
F
Service de cardiologie B, Hémodynamiqiue diagnostique et interventionnelle, CHU Nancy-Brabois, Vandoeuvre-lès-Nancy.
Juilliere
Y
Y
Danchin
N
N
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D003327:Coronary Disease / Q000628:therapy*; D006801:Humans; D012008:Recurrence; D013997:Time Factors
L'angioplastie des artères coronaires dans l'insuffisance coronaire chronique.