Document Detail


Distal coronary hemoperfusion during percutaneous transluminal coronary angioplasty.
MedLine Citation:
PMID:  8974796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Distal coronary hemoperfusion during percutaneous transluminal coronary angioplasty (PTCA)-with an autoperfusion balloon or active system-facilitates prolonged balloon inflation. Prolonged inflations may tack up intimal dissections and improve the primary angioplasty result in complex lesions. Additionally, distal perfusion may reduce the likelihood of cardiogenic shock during high-risk PTCA. Autoperfusion balloons are most frequently used to treat acute or threatened closure. There currently is no prospective clinical study showing that stent implantation for this complication is more successful and more cost-effective. The blood flow rates through autoperfusion balloons may not abolish myocardial ischemia, and higher flow rates can often be achieved with pumps. Therefore, during high-risk PTCA, pumps may be preferred to prevent hemodynamic collapse. Clinical application of perfusion pumps is hampered by the risk for mechanical hemolysis during prolonged perfusion and the high velocity of the bloodstream that exits the PTCA catheter, causing distal vessel wall trauma.
Authors:
E D de Muinck; P den Heijer; R B van Dijk; H J Crijns; H L Hillige; K I Lie
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  37     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1996 Mar 
Date Detail:
Created Date:  1997-01-02     Completed Date:  1997-01-02     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  233-40; discussion 241-2     Citation Subset:  IM    
Affiliation:
Catheterization Laboratory, University Hospital, Groningen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary* / instrumentation,  methods
Balloon Dilatation
Coronary Circulation
Heart Catheterization
Heart-Assist Devices*
Humans
Myocardial Reperfusion / instrumentation,  methods
Myocardial Reperfusion Injury / prevention & control
Shock, Cardiogenic / prevention & control
Stents

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


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