Document Detail


Angioplasty of totally occluded old vein grafts with new interventional techniques: a long-term follow-up study.
MedLine Citation:
PMID:  9637435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  44     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-08-18     Completed Date:  1998-08-18     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  144-6     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Diseases, The University of Alabama at Birmingham, 35294, USA.
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MeSH Terms
Descriptor/Qualifier:
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:
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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