Document Detail


Acute success rates of percutaneous transluminal coronary angioplasty in the treatment of chronic complete occlusions with use of the 0.014 magnum Meier wire.
MedLine Citation:
PMID:  11108329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The 0.014 inch magnum Meier wire was used as the primary tool for recanalization of chronic total coronary artery occlusions in 230 consecutive patients treated by a single operator over a 3-year period. Exclusive use of the magnum wire resulted in an acute success rate of 80.9% in all occlusions and 64.7% in occlusions with a duration of >6 months. The complication rate of this procedure was extremely low with only one nontransmural myocardial infarction occurring. There were no vessel perforations, no in-hospital deaths, and no need for acute surgery. After failure to recanalize with the magnum wire, various other devices (conventional stiff guidewires, jagwire, crosswire) were used resulting in only six additional successful recanalizations but also in two vessel perforations with spontaneous closure of the perforation hole. Therefore, the 0.014-inch magnum Meier recanalization wire is highly effective for recanalization of chronic coronary artery occlusions, if used as the primary tool by an experienced operator, and is associated with an extremely low complication rate.
Authors:
M Mauser
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  51     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  2000 Oct 
Date Detail:
Created Date:  2001-01-09     Completed Date:  2001-01-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  849-54     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Klinikum Lahr, Germany.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects,  instrumentation*,  methods
Coronary Angiography
Coronary Disease / therapy*
Female
Humans
Male
Middle Aged
Preoperative Care
Treatment Failure

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


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