| Chronic Coronary Occlusion Ñ Treatment Options and Results. | |
| | |
MedLine Citation:
|
PMID: 10762876 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Indications for chronic coronary occlusion angioplasty are based on the projected benefit and technical difficulties. With current indications, primary success is around 60% and complications are rare. In successful cases, the main benefits are improvement of symptoms and obviation of the need for bypass surgery. Late improvement of left ventricular function can also occur. Recurrences are frequent, but reocclusions occur only in about 20% of cases. Several techniques have been advocated to improve the success rate. It is obvious that the stiffer the instrument used the higher the crossing rate, but also the risk for perforation. While the laser wire aims at high crossing success, the Magnum wire aims at high safety. In about 800 cases using the Magnum wire, the success rate was 64% before, and 66% after crossover to another technique. Complications were comparable to those of routine coronary angioplasty. Chronic total occlusions are a major reason for selecting bypass surgery over angioplasty. The technical success with angioplasty leaves room for improvement. However, safety should not be compromised and there are limits to the investment in terms of time and material because the clinical yield is relatively small, albeit uncontested. |
| | |
Authors:
|
Meier |
Related Documents
:
|
8498366 - Treatment of long coronary artery narrowings with long angioplasty balloon catheters. 12798826 - The prognostic importance of heart failure and age in patients treated with primary ang... 10155236 - Cardiopulmonary support for complex angioplasty. 8701386 - Clinical and postmortem outcome of "no-reflow' phenomenon in a patient treated with rot... 145636 - Histopathological study of hypertrophied myocardium of known etiologies with special re... 11283416 - Use of a new myocardial centroid for measurement of regional myocardial dysfunction by ... |
Publication Detail:
|
Type: JOURNAL ARTICLE |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 9 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 1997 Jan |
Date Detail:
|
Created Date: 2000-04-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: - |
Other Details:
|
Languages: ENG Pagination: 56-60 Citation Subset: - |
Affiliation:
|
Professor and Head of Cardiology, 3010, Bern, Switzerland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Intravenous Procainamide for Predicting the Response of Sustained Ventricular Tachycardia to Type II...
Next Document: Catheter-Based Therapy for Saphenous Vein Bypass Graft Disease.