| Coronary reperfusion with a new catheter in six patients with acute occlusion after angioplasty. | |
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MedLine Citation:
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PMID: 2969287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A new catheter was used in an attempt to re-establish coronary flow in six patients with acute occlusion after angioplasty and prior to emergency coronary artery bypass surgery. All patients suffered from severe chest pain, and the electrocardiogram showed signs of acute transmural ischemia. A reperfusion catheter manufactured by Advanced Cardiovascular Systems (ACS) has 36 side holes spirally arranged along the distal 10 cm. It is introduced over an exchange wire. After the catheter was positioned across the occlusion, five patients had complete relief of chest pain, and another patient had partial relief. The electrocardiogram normalized in all six patients (in one only initially). Two patients developed a limited myocardial infarction, but four did not. The time between introduction of the reperfusion catheter and aorta cross clamping varied between 1.5 and 6.5 hours, and there were no complications related to its use. We conclude that the ACS reperfusion catheter is useful in re-establishing coronary blood flow after failed angioplasty and prior to emergency coronary artery bypass surgery. |
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Authors:
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C Werter; M el Gamal; H Bonnier; R Michels; L Van Gelder; A V Krieken |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular diagnosis Volume: 14 ISSN: 0098-6569 ISO Abbreviation: Cathet Cardiovasc Diagn Publication Date: 1988 |
Date Detail:
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Created Date: 1988-09-01 Completed Date: 1988-09-01 Revised Date: 2004-11-17 |
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: 238-42 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Catharina Hospital, Eindhoven, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Angioplasty, Balloon / adverse effects* Catheterization / instrumentation* Constriction, Pathologic / therapy Coronary Artery Bypass Coronary Circulation* Coronary Disease / therapy* Coronary Vessels* Electrocardiography Emergencies Female Humans Male Middle Aged Perfusion |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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