19981999 JR PTCACABG 1 2 PTCA 3 PTCA 4 OP-CABG MID-CAB PTCACABG 1 PTCA PTCA CABG 2 1 PTCA PTCA PTCA PTCA PTCA 2CABG CABG CABG CABG 3PTCA CABG Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1009
19981999 1PTCA CABG 2PTCA & CABG 3 4 PTCA CABG 1 2 3PTCA & CABG 4 5 PTCA CABG follow-up 6 7 1010 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
CABG PTCA PTCA/CABG 6.47.5/1 10 1997 PTCA 108,584 CABG 17,036 1997 CABG 14,542 1/1 ACC/AHA PTCA 1993 PTCA POBA POBA POBA CABGCABG PTCA PTCACABG 1 PTCA CABG 456 QOL PTCACABG 45678 PTCA CABG PTCA QOL PTCA PTCA 1.5 PTCA 10 PTCA CABG PTCACABG CABG PTCA PTCA CABG PTCALITA CABG LITA CABGPTCA 11 PTCA CABG PTCACABG PTCA CABG 1213 QOL 14DM CABG Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1011
19981999 PTCA 10 1315 10 PTCA CABG CABG PTCA 16 CABG PTCA 17 PTCACABG 10 18192021222324 2 456725 PTCA QOL 3 511141516172526 PTCA PTCA CABG CABG 4 CABG 2728 PTCA PTCA 1 2930 0.6 0.3731 1.5 1.7931 1.4 1012 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
0.4931 5.824 2560 POBA ; 0.2DCA 1.31.8 0.4931 IABP PCPS PTCA 11 29 3233 34 PTCA ( CABG 30 PTCA 200 153536 CABG1.9435 3.64.6 3.4202.222 0.82.6 2.6202.222 1.84.1 1.820 2 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1013
19981999 QOL PTCA CABG PTCA - 1.-- 34 50 1 unprotected LMT37383940 41 jeopardized collaterals CABG PTCA 1 DCA IABPPCPS IVUS 5075 PTCA 75 PTCA PTCA DCATEC PTCA PTCA PTCA CABG CABG CABG PTCA PTCA 15 mm 424344 90 PTCA ( PTCA -123 1014 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
PTCA MID-CAB CABG PTCA PTCA CABG CABG PTCA CABG 3738394041 CABG fi TEC fl CABG PTCA PTCA PTCA MID- CAB OP-CABG LITA PTCA 20 50 30 Ca 4546 HMG CoA EPA Ca 1 POBA 30404748 4950 POBA 104849 5051 3.0 mm DCA 525354 2054 TEC 45553056 50 57 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1015
19981999 POBA CABG 2 58 CABG CABG PTCA 30 PTCA 3 PTCA PTCA CABG PTCA PTCA CABG PTCA CABG 59 60 75 PTCA PTCA (PTCA CABG -123 PTCA ( 1 PTCA CABG PTCA PTCA, CABG CABG PTCA, CABG 1016 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
2 10 11 12 13 PTCA 14 3 CABGPTCA EBM 4 PTCA CABG QOL ( PTCA CABG 300,000 600695216,000 40060075,000120,000 150 PTCA CABG PTCA Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1017
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19981999 with angioplasty for isolated stenosis of the proximal left anterior descending coronary artery. N Eng J Med 1997 ; 336 : 817-22. 49 Fischman D, et al. A randomized comparison of coronarystent-placement and balloon angioplasty in the treatment of coronery artrey disease. N Eng J Med 1994 ; 331 : 496-501. 50 Serruys PW, et al. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. N Eng J Med 1994 ; 331 : 489-95. 51 1999 ; 7 : 21-6 52 Topol EJ, et al. A comparison of directional coronary atherectomy with angioplasty on patients with coronary artery disease. The CAVEAT Study Group. N Engl J Med 1993 ; 329 : 221-7. 53 Popma JJ, et al. Early and late quantitative angiographic outcome in the optimal atherectomy restenosis study (OARS). J Am Coll Cardiol 1996 ; 27 : 291A. 54 Baim DS, et al. Final results in the ballooon vs optimal atherectomy trial (BOAT) : 6 month angiography and 1 year clinical follow-up. Circulation 1996 ; 94 : I-436. 55 Suzuki T, et al. Effects of adjunctive balloon angioplasty after intravascular ultrasound-guided optimal directional coronary atherectomy ; the result of Adjunctive Balloon Angioplasty After Coronary Atherectomy study. J Am Coll Cardiol 1999 ; 34 : 1028-35. 56 Ishizaka N, et al. Angiographic follow-up of patients after transluminal coronary extraction atherectomy. Am Heart J 1994 ; 128 : 691-6. 57 Reisman M, et al. Comparison of early and recent results with rotational atherectomy. J Am Coll Cardiol 1997 ; 29 : 353-7. 58 1997 ; p183-93. 59 cost-effectiveness 1994 ; 42 : 222-7 60 CEA (cost effectiveness analysis) Modern Physician 1997 ; 17 : 87-94. PTCACABG PTCA PTCA CABG 1998 PTCACABG 20 PTCA 157CABG 124 1 LMT PTCA 1,760 2,113 2,779 NA CABG NA 4,989 4,357 3,894 MID-CAB 2,617 PTCA 1,995 1,963 3,379 NA CABG NA 4,404 4,248 4.385 POBA 171,000 172,000 290,000 340,000 80,000 406,000 642,000 1020 Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
245,000 630,000 2 LMT PTCA 677 1,265 1,648 NA CABG NA 30 12 127 MID-CAB 380 PTCA 983 1,226 1,863 NA CABG NA 242 5 80 restudy CAG 3040 30 1090 3 PTCA 13.111.7 8.813.9 CABG39.926.7 1.46.2 4 PTCA 118186 23 1695 198253 167236 3448 17020 CABG 3276892281 23 5 12345 RITA trial, RITA1 trial, BARI trial, EAST trial PTCA CABG substudy CABG PTCA 1.5 PTCA CABG CABG/PTCA 1.21.05 PTCA BARI trial PTCA 6 PTCA CABG PTCA CABG PTCA Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1021
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