Document Detail


Abrupt (< 1 day), acute (< 1 week), and early (< 1 month) vessel closure at the angioplasty site. Morphologic observations and causes of closure in 130 necropsy patients undergoing coronary angioplasty.
MedLine Citation:
PMID:  8914779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
While abundant clinical and angiographic data are available regarding features of acute or abrupt closure at the site of balloon angioplasty, little morphologic information is available. This study discusses morphologic-histologic causes for acute closure after angioplasty in 130 necropsy patients. Intimal-medial flaps, elastic recoil, and primary thrombosis were the three leading morphologic causes for closure. Data were subdivided into time categories: abrupt (< 1 day), acute (< 1 week), and early (< 1 month). Intimal-medial flaps remained the most common cause for angioplasty closure despite time from angioplasty to documented occlusion. Morphologic recognition of types and frequencies of angioplasty closure are discussed, and specific mechanical, pharmacologic, or combined treatments are reviewed.
Authors:
B F Waller; E T Fry; T F Peters; J B Hermiller; C M Orr; J VanTassel; C A Pinkerton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  19     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-02-26     Completed Date:  1997-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  857-68     Citation Subset:  IM    
Affiliation:
Cardiovascular Pathology Registry, St. Vincent Hospital, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Disease / etiology,  pathology*
Coronary Vessels / pathology*
Female
Humans
Male
Middle Aged
Recurrence
Time Factors
Tunica Intima / pathology
Tunica Media / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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