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Læknablaðið - 15.04.2000, Qupperneq 20

Læknablaðið - 15.04.2000, Qupperneq 20
FRÆÐIGREINAR / KRANSÆÐAVÍKKANIR Á ÍSLANDI Lokaorð Próun kransæðavíkkunaraðgerða hefur verið bylt- ingarkennd undanfarna tvo áratugi. Tíðni þessara aðgerða hérlendis er há miðað við fólksfjölda, árang- ur hefur verið góður og jafnan kappkostað að taka nýjungar í tækni og lyfjameðferð í notkun þegar þær hafa sannað sig í erlendum rannsóknum. Kransæða- víkkanir eru sérhæfðar hátækniaðgerðir sem eiga eft- ir að þróast enn frekar á næstu öld. Aukin tækni, reynsla og framfarir í meðferð hafa orðið til þess að sá sjúklingahópur sem gagn hefur af kransæðavíkkun fer ört vaxandi. Mikilvægt er að búið sé vel að þessari meðferð hér á landi og vinnubrögð samhæfð. Heimildir 1. Gríientzig AR. Transluminal dilatation of coronary artery stenosis [letter to editor]. Lancet 1978; 1:263. 2. Myler RK, Stertzer SH. Coronary and peripheral angioplasty: historical perspective. In: Topol EJ, ed. Textbook of interventio- nal cardiology. London: WB Saunders Company; 1990:187-98. 3. 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The TIMI IIIB Investigators. Effects of tissue plasminogen activator and a comparison of early invasive and conservative strategies in unstable angina and non-Q-Wave myocardial infarction: Results of the TIMIIIIB trial. Circulation 1994; 89: 1545-56. 21. Boden WE, O’Rourke RA, Crawford MH, Blaustein AS, Deedwania PC, Zoble RG, et al. Outcomes in patients with acute non-Q-wave myocardial infarction randomly assigned to an invasive as compared with a conservative management strategy. Veterans Affairs Non-Q-Wave Infarction Strategies in Hospital (VANQWISH) Trial Investigators [see com- ments]. N Engl J Med 1998; 338:1785-92. 22. FRISC II Investigators. Invasive compared with non-invasive treatment in unstable coronary-artery disease: FRISC II pro- spective randomised multicentre study. Lancet 1999; 354: 708- 15. 23. Michels KB, Yusuf S. Does PTCA in acute myocardial infarc- tion affect mortality and reinfarction rates? 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Clinical presentation and outcome of patients with early, intermediate and late reperfusion therapy by pri- mary coronary angioplasty for acute myocardial infarction. Eur HeartJ 1998; 19:118-23. 28. Garot J, Scherrer-Crosbie M, Monin JL, Du Pouy P, Bourachot ML, Teiger E, et al. Effect of delayed percutaneous translu- minal coronary angioplasty of occluded coronary arteries after acute myocardial infarction. Am J Cardiol 1996; 77: 915-21. 29. Stone GW, Brodie BR, Griffin JJ, Costantini C, Morice MC, St. Goar FG, et al. Clinical and angiographic follow-up after primary stenting in acute myocardial infarction: the Primary Angioplasty in Myocardial Infarction (PAMI) stent pilot trial. Circulation 1999; 99:1548-54. 30. Brener SJ, Barr LA, Burchenal JE, Katz S, George BS, Jones AA, et al. Randomized, placebo-controlled trial of platelet glycoprotein Ilb/IIIa blockade with primary angioplasty for acute myocardial infarction. 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N Engl J Med 1998; 339:1672-8. 36. Antoniucci D, Valenti R, Santoro GM, Bolognese L, Trapani 248 Læknablaðið 2000/86
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