Document Detail


Coronary artery aneurysm formation following percutaneous transluminal coronary angioplasty: treatment of associated restenosis with repeat percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  2354519     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Restenosis following coronary angioplasty can usually be treated effectively and safely by repeated angioplasty. However, the presence of a complex lesion morphology may bias the clinician away from angioplasty toward either recommending bypass surgery or continuing medical therapy alone in spite of recurrence of the symptoms which were sufficient indication for the initial angioplasty. One type of complex morphology at the site of the restenosis is due to the presence of a focal, eccentric aneurysmal dilatation similar in appearance to a saccular aneurysm. In two previously reported cases in the literature both were referred to bypass surgery. We report eight additional cases including the use of repeat successful angioplasty in six of the cases in spite of the potential problems posed by the complexity of the restenosed lesion. In addition, this case review suggests that this type of complex lesion morphology with restenosis may be more common when the initial angioplasty was associated with deep arterial injury, as in patients whose initial angioplasty was done in an infarct-related vessel or was associated with evidence of a large dissection.
Authors:
G D Walford; M G Midei; T R Aversano; S O Gottlieb; P H Chew; J A Brinker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  20     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-07-20     Completed Date:  1990-07-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  77-83     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Johns Hopkins Hospital, Baltimore, MD 21205.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angiography
Angioplasty, Transluminal, Percutaneous Coronary*
Constriction, Pathologic / therapy
Coronary Aneurysm / etiology,  radiography,  therapy*
Coronary Angiography
Coronary Disease / therapy
Female
Humans
Male
Middle Aged
Recurrence
Reoperation
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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