| Angioplasty for chronic total coronary occlusions: safety and efficacy. | |
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MedLine Citation:
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PMID: 12568208 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the short term results and safety of angioplasty in chronic coronary occlusions. METHODS: Eighty consecutive patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for chronic coronary occlusions were prospectively analyzed for acute success rate and safety of the procedure. RESULTS: The mean age was 46.7 years (range 30-78 years). There were 72 males and eight females. Clinical presentation was recent myocardial infarction (MI) in four cases (5%), unstable angina in 20 (25%), chronic stable angina in 24 (30%) and past history of MI in 32 (40%) cases. Vessel distribution was left anterior descending artery (LAD) in 40 (50%), left circumflex artery (LCx) in 12 (15%) and right coronary artery (RCA) in 28 (35%) cases. Lesion length varied from 8 mm to 37 mm with a mean of 16.7 mm. Acute success rate was 70% (56/80). Twenty four cases (30%) had unsuccessful result due to failure to cross with wire (18 cases) or inability to cross with the balloon (six cases). One major complication in the form of type III coronary perforation was encountered which was successfully managed surgically. CONCLUSION: Percutaneous transluminal coronary angioplasty (PTCA) in chronic total occlusion has a reasonable success rate and very low complication rate. |
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Authors:
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O P Mathew; J S Dugal; V Jetley; S K Malani; S K Datta |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the Association of Physicians of India Volume: 50 ISSN: 0004-5772 ISO Abbreviation: J Assoc Physicians India Publication Date: 2002 Oct |
Date Detail:
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Created Date: 2003-02-05 Completed Date: 2003-02-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7505585 Medline TA: J Assoc Physicians India Country: India |
Other Details:
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Languages: eng Pagination: 1251-4 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Military Hospital (Cardio-Thoracic Centre), Pune 411 040. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary / adverse effects, methods* Cohort Studies Coronary Angiography Coronary Restenosis / epidemiology, radiography Coronary Stenosis / mortality, radiography, therapy* Female Follow-Up Studies Humans Male Middle Aged Prospective Studies Risk Assessment Sensitivity and Specificity Severity of Illness Index Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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