Document Detail

Acute coronary artery occlusion during percutaneous transluminal coronary angioplasty treated by redilation of the occluded segment.
MedLine Citation:
PMID:  6238989     Owner:  NLM     Status:  MEDLINE    
Acute occlusion of a coronary artery during percutaneous coronary angioplasty usually results in unremitting ischemia requiring emergency surgical intervention. Seven patients are described, in whom complete occlusion occurred during coronary angioplasty as a result of coronary artery dissection. Despite this, it was possible to reintroduce the balloon catheter immediately and redilate the vessel with abrupt reversal of clinical and electrocardiographic manifestations of ischemia. Six patients had no subsequent evidence of myocardial infarction. The seventh had a slight elevation of serum creatine kinase and transient electrocardiographic changes. All patients were discharged from the hospital without further intervention. Four patients had elective coronary artery bypass surgery (greater than 4 weeks after angioplasty) and three have remained asymptomatic or in improved condition since the coronary angioplasty. It is concluded that sudden occlusion of a coronary artery during coronary angioplasty can be safely treated by redilation in the acute stage.
J F Marquis; L Schwartz; H Aldridge; P Majid; M Henderson; E Matushinsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  4     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1984-12-27     Completed Date:  1984-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1268-71     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Angioplasty, Balloon / adverse effects*
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / etiology,  therapy*

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

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