PMID: 6971736May 1, 1981Paper

Percutaneous transluminal dilation of aortocoronary saphenous vein bypass grafts

Chest
W B FordM E Sullivan

Abstract

To evaluate the efficacy of percutaneous transluminal angioplasty as a possible alternative to repeated open heart surgery for symptomatic aortocoronary saphenous vein graft stenoses, the procedure was initiated at Shadyside Hospital in January 1978. Percutaneous transluminal angioplasty has been used in nine aortocoronary graft stenoses and 11 native coronary artery stenoses. Of the nine grafts, eight (88 percent) were successfully dilated, including three that had been totally closed as visualized by angiography. Of the 11 coronary dilations, only four (36 percent) resulted in improved flow. The more favorable results experienced with the graft dilations was thought to be due to the nature of the occlusive processes affecting these grafts. The fibrous intimal proliferative disease that is found in most grafts is easily compressible, while the nature of the disease in the coronary arteries is not so readily predictable. Better instrumentation and careful evaluation before and after angioplasty will improve the results and extend the indications for coronary artery and saphenous vein graft transluminal angioplasty.

Citations

Dec 1, 1989·Journal of the American College of Cardiology·W P PlatkoI Franco
Jun 1, 1993·Journal of the American College of Cardiology·P J de FeyterP W Serruys
Jul 1, 1996·Journal of the American College of Cardiology·P P de JaegereP W Serruys
Mar 1, 1984·Journal of the American College of Cardiology·D R HolmesH V Schaff
Jan 1, 1987·Journal of the American College of Cardiology·G CoteR E Shaw
Dec 1, 1984·British Heart Journal·M El GamalE Stassen
Jul 1, 1987·British Heart Journal·E DrummerJ Hollman
Dec 1, 1986·Current Problems in Cardiology·B F Waller
Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·M H Wholey
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May 9, 1988·The American Journal of Cardiology·C A PinkertonM L Smith
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Mar 1, 1987·The American Journal of Cardiology·J P MelchiorW Rutishauser
Sep 1, 1991·American Heart Journal·F ReevesJ Lespérance

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