Document Detail

Elective single-vessel percutaneous coronary intervention in a vegetative state patient.
MedLine Citation:
PMID:  20102389     Owner:  NLM     Status:  MEDLINE    
A 73-year-old male in a persistent vegetative state underwent percutaneous coronary intervention (PCI) for unstable angina with multiple-vessel stenosis. The maximum dose pharmaceutical therapy was ineffective in controlling his symptoms. The goal of the procedure was to alleviate the patient's severe chest pain and vomiting with minimal invasion and risk. The procedure was effective despite treating only the culprit artery. Symptoms disappeared immediately after PCI and the patient remained attack free for 12 months. With the consent of the patient's family and support of medical staff, elective single-vessel PCI can be a practical and effective treatment option for refractory angina in patients with impaired consciousness.
Tomoyuki Watanabe; Masaki Sugiyama; Takeshi Satoh; Kuniko Makigami
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Geriatrics & gerontology international     Volume:  10     ISSN:  1447-0594     ISO Abbreviation:  Geriatr Gerontol Int     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101135738     Medline TA:  Geriatr Gerontol Int     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  102-6     Citation Subset:  IM    
Division of Cardiology and Internal Medicine, Health Co-op, Watari Hospital, Watari, Fukushima, Japan.
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MeSH Terms
Angina, Unstable / etiology,  therapy*
Angioplasty, Transluminal, Percutaneous Coronary*
Coronary Stenosis / complications,  therapy*
Decision Making / ethics
Persistent Vegetative State / complications*
Quality of Life
Third-Party Consent*

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

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