| Clinical experience with low profile fixed wire balloon catheter system for percutaneous transluminal coronary angioplasty. | |
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MedLine Citation:
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PMID: 2351406 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Clinical records of the first 45 consecutive patients (66 lesions) in whom the Probe TM a balloon on the wire, was used for percutaneous transluminal coronary angioplasty have been reviewed. The aim of this analysis was to establish the efficacy and safety of this device. Majority of the lesions taken up were considered severe and difficult to cross. The probe was the 1st catheter used in 51 lesions (77%) and in 15 lesions (23%) it was used after other balloon catheters. In 88% (58/66) of lesions treated the Probe reduced the stenosis to less than 50% of the luminal diameter. Of the 45 patients treated 39 (87%) had a successful result. Of the 19 patients with multiple lesions 74% (14/19) had complete revascularisation and in 16% (3/29) had the most significant vessel dilated. Two patients (3%) required urgent coronary artery bypass surgery for acute occlusions. There was no hospital death. Of 50 probe devices used 5 (10%) malfunctioned: the balloon ruptured (at 5 Bars pressure) in 2 instances, balloon twisted causing "Volvulous" in 1 and balloon failed to deflate in 2 cases. The probe has significant advantages over other balloon systems for treating severe coronary lesions because of its low profile. It is however a delicate catheter system and prone to malfunction if not handled with care. Our results show that it is an excellent system for opening difficult and tight coronary lesions. |
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Authors:
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U Kaul; R Aggarwal; V K Bahl; V Dev; S C Manchanda; S Sharma; P Venugopal |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian heart journal Volume: 42 ISSN: 0019-4832 ISO Abbreviation: Indian Heart J Publication Date: 1990 Jan-Feb |
Date Detail:
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Created Date: 1990-07-16 Completed Date: 1990-07-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0374675 Medline TA: Indian Heart J Country: INDIA |
Other Details:
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Languages: eng Pagination: 8-12 Citation Subset: IM |
Affiliation:
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Cardio Thoracic Center, AIIMS, New Delhi. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angina Pectoris / therapy Angioplasty, Transluminal, Percutaneous Coronary / adverse effects, instrumentation* Equipment Failure Humans Middle Aged Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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