PMID: 6233876Jun 15, 1984

Complex coronary angioplasty: multiple coronary dilatations

The American Journal of Cardiology
G DorrosR K Myler

Abstract

Selected patients underwent PTCA of multiple stenoses in different vessels or in the same vessel. Three hundred nine patients underwent 685 PTCA procedures in various combinations of arterial and vein graft stenoses. A multiple dilatation procedure was defined as successful when all lesions attempted were successfully dilated, or when the considered-critical-stenosis was successfully dilated and this resulted in a patient clinical improvement. Angiographic success was achieved in 599 of 685 lesions attempted (87.4%) and in 285 of 309 patients (92.2%). Complications included a mortality rate of 1.0%, an MI rate of 4.2% per patient and 1.9% per lesion attempted, and a 3.6% incidence of emergency CABG. Follow-up data show that 58 patients (20.4%) had clinical evidence of a lesion recurrence, and that 92.5% (37 of 40 patients) who underwent repeat angioplasty had a successful procedure. A sustained clinical improvement was obtained in 264 of 309 patients (85.4%). The data indicate that multiple dilatations are feasible with good success rates and acceptable complication rates. Further evaluation of this extended application of PTCA is needed to clearly establish its role in the therapy of CAD.

References

Nov 1, 1978·World Journal of Surgery·F D LoopD M Cosgrove
Jan 1, 1978·Cleveland Clinic Quarterly·Q R Stiles

Citations

Sep 1, 1993·Clinical Cardiology·C UnterbergV Wiegand
Jan 1, 1986·Cardiovascular and Interventional Radiology·G S RoubinW J Casarella
Feb 1, 1988·Journal of the American College of Cardiology·E S ThomasD O Williams
Jun 1, 1988·Journal of the American College of Cardiology·U DeligonulB Chaitman
Jun 1, 1988·Journal of the American College of Cardiology·W M BreisblattL J Spaccavento
Jul 1, 1988·Journal of the American College of Cardiology·G DiSciascioS A Lewis
Feb 1, 1989·Journal of the American College of Cardiology·G GaulI Franco
Nov 1, 1990·Journal of the American College of Cardiology·J H O'KeefeG Hartzler
Nov 1, 1990·Journal of the American College of Cardiology·B J Gersh, D R Holmes
Jul 1, 1991·Journal of the American College of Cardiology·C CostantiniR V Haendchen
Oct 1, 1990·Journal of the American College of Cardiology·R S KohliG W Vetrovec
Sep 1, 1985·Journal of the American College of Cardiology·D J KereiakesJ B Simpson
Dec 1, 1985·Journal of the American College of Cardiology·L A MataM G Bourassa
Nov 1, 1985·Journal of the American College of Cardiology·M G VandormaelH Kennedy
Aug 1, 1987·Journal of the American College of Cardiology·M G VandormaelB Chaitman
Jan 1, 1987·Journal of the American College of Cardiology·G CoteR E Shaw
Apr 8, 1998·Journal of the American College of Cardiology·S B King
May 1, 1987·Postgraduate Medical Journal·I CooperD J Coltart
Apr 1, 1987·International Journal of Cardiology·A P GoldmanF K Nakhjavan
Aug 1, 1988·International Journal of Cardiology·J Hollman
Jul 31, 1987·The American Journal of Cardiology·M G VandormaelB Chaitman
Mar 1, 1990·American Heart Journal·P TeirsteinG Hartzler
Sep 1, 1987·The American Journal of Cardiology·L FinciW Rutishauser
Jun 15, 1993·The American Journal of Cardiology·W G KussmaulJ W Hirshfeld
Sep 1, 1986·American Heart Journal·T A BassR A Perryman
Apr 15, 1987·The American Journal of Cardiology·P N CascadeJ Mantel
Nov 1, 1993·Catheterization and Cardiovascular Diagnosis·R C ChanD R Holmes
Apr 1, 1988·British Heart Journal·T J BowkerA F Rickards
Mar 30, 1985·British Medical Journal·N P Silverton
Feb 1, 1989·Catheterization and Cardiovascular Diagnosis·I CooperM Webb-Peploe
Mar 1, 1987·Catheterization and Cardiovascular Diagnosis·F K NakhjavanR Weiner
Oct 1, 1991·Catheterization and Cardiovascular Diagnosis·M BrackM R Mooney
Dec 1, 1989·Catheterization and Cardiovascular Diagnosis·A MartinezJ Lindsay
Jan 1, 1987·Catheterization and Cardiovascular Diagnosis·R K MylerM C Murphy
Jun 1, 1989·Catheterization and Cardiovascular Diagnosis·K R BuccinoK F Browne
Mar 1, 1985·Journal of Medical Engineering & Technology·D S Dymond
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·L FinciW Rutishauser

Related Concepts

Angioplasty, Balloon
Coronary Heart Disease
Sinus Node Artery
Relapse
Coronary Angiography

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.