[Indications for percutaneous angioplasty and coronary surgery in stable angina pectoris].
Coronary by-pass surgery and percutaneous transluminal angioplasty (PTCA) have changed the prognosis and life quality of patients with stable angina. Medical treatment and myocardial revascularisation are both useful and most often complementary. Coronary by-pass surgery is indicated in the treatment of coronary left main disease and three-vessel disease with poor left ventricular function. PTCA is the best choice in patient with one-vessel disease resulting in myocardial ischaemia. Discussion remains open in other cases mainly in stenosis of proximal left anterior descending artery. Often the ultimate choice results from the limits of each technique: sapheneous by-pass occlusion or coronary artery restenosis after PTCA. New techniques and devices in revascularization are expected to improve prognosis:use of arterial by-pass grafts, gene transfer, local drug delivery.
Guyon
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P
Service de cardiologie et urgences cardiovasculaires, Centre hospitalier général, Saint-Germain-en-Laye.
Haïat
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R
D000787:Angina Pectoris / Q000628:therapy*; D000800:Angioplasty, Balloon; D002986:Clinical Trials as Topic; D001026:Coronary Artery Bypass; D006801:Humans; D009204:Myocardial Revascularization
Indications de l'angioplastie percutanée et de la chirurgie coronaire dans l'angor stable.