| Angioplasty of totally occluded old vein grafts with new interventional techniques: a long-term follow-up study. | |
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MedLine Citation:
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PMID: 9637435 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The long-term patency of saphenous vein graft (SVG) lesions after intervention has been shown to be improved with new interventional techniques such as stents. Long-term outcome of patients undergoing successful angioplasty of totally occluded old SVGs with new devices is unknown. From July 1994 to June 1996, 19 patients with totally occluded old SVGs had successful angioplasty with new interventional techniques. Mean SVG age was 123 +/- 8 mo. Thrombolysis in myocardial infarction trial (TIMI) flow was 0 in all target lesions. TIMI 2 or 3 flow was restored after angioplasty in all patients. Intracoronary urokinase, transluminal extractional atherectomy, and stenting were used in 14, 12, and 6 patients, respectively. There was one in-hospital death due to ongoing myocardial infarction, no recurrent infarction, and no repeat angioplasty or bypass surgery in the hospital. At follow-up of 21 +/- 1 mo, there was one sudden death and one myocardial infarction. Five patients had repeat coronary bypass surgery, and 4 had repeat angioplasty. Thirteen patients remained asymptomatic, and 4 had angina. The long-term outcome of patients who had successful reopening of occluded old SVGs is encouraging in this small sample. |
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Authors:
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J F Luo; M W Liu; P M Wong; A Mathur; S S Iyer; W A Baxley; L S Dean; G S Roubin |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 44 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1998 Jun |
Date Detail:
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Created Date: 1998-08-18 Completed Date: 1998-08-18 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7508512 Medline TA: Cathet Cardiovasc Diagn Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 144-6 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Diseases, The University of Alabama at Birmingham, 35294, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary* Atherectomy, Coronary Coronary Angiography Coronary Disease / surgery Female Follow-Up Studies Graft Occlusion, Vascular / radiography, therapy* Humans Male Plasminogen Activators / therapeutic use Recurrence Reoperation Retrospective Studies Saphenous Vein / radiography, transplantation Stents Thrombolytic Therapy* Treatment Outcome Urokinase-Type Plasminogen Activator / therapeutic use |
| Chemical | |
Reg. No./Substance:
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EC 3.4.21.-/Plasminogen Activators; EC 3.4.21.73/Urokinase-Type Plasminogen Activator |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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