| How good are experienced interventional cardiologists in predicting the risk and difficulty of a coronary angioplasty procedure? A prospective study to optimize surgical standby. | |
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MedLine Citation:
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PMID: 10348119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The prediction of the risk of a percutaneous transluminal coronary angioplasty has either been based on coronary lesion morphology or on clinical parameters, but a combined angiographic and clinical risk assessment system has not yet been evaluated prospectively. Five experienced interventionalists categorized 7,144 patients with 10,081 stenoses (1.4 lesion/patient) for both the risk and the difficulty of the procedure. Risk categories are as follows: 1 = low risk; 2 = intermediate risk; 3 = high risk. This division was made for percutaneous transluminal coronary angioplasty planning purposes. Category 1 patients denotes those in whom surgical standby is not required; category 2 patients, surgical standby not required but available within 1 hr; category 3 patients, surgical standby required. Difficulty categories are as follows: 1 = easy lesion; 2 = moderately difficult lesion; 3 = difficult lesion. Success was defined as a reduction of the degree of stenosis to less than 50%, without acute myocardial infarction, emergency redilatation, emergency bypass grafting, or death within 1 week. The procedure was not successful in difficulty category 1 in 1.6%, in category 2 in 3.5%, and in category 3 in 9.9%. Complications occurred in risk category 1 in 3.5%, in category 2 in 5.2%, and in category 3 in 12.4%. All differences were statistically significant (P < 0.05). Experienced cardiologists can well predict the risk and success of a coronary angioplasty procedure. This helps to optimize surgical standby, although even in the lowest-risk category complications can occur. |
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Authors:
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B R Brueren; E G Mast; M J Suttorp; J M Ernst; E T Bal; H W Plokker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 46 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-07-06 Completed Date: 1999-07-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 257-62 Citation Subset: IM |
Affiliation:
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Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary*
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adverse effects Cardiology Service, Hospital / standards Clinical Competence Coronary Angiography Coronary Disease / classification, radiography, surgery, therapy* Female Humans Male Middle Aged Myocardial Revascularization Netherlands Outcome Assessment (Health Care) / standards*, statistics & numerical data Prospective Studies Risk Assessment / standards*, statistics & numerical data |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 1999 Mar;46(3):263-4
[PMID:
10348120
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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