Document Detail

PTCA update: is your patient now a candidate? Even complex multivessel lesions may succumb to balloon dilation.
MedLine Citation:
PMID:  10147946     Owner:  NLM     Status:  MEDLINE    
Indications for PTCA continue to grow. In complex multivessel lesions, PTCA now has high primary success and low complication rates. Dilation of chronic total occlusions is less successful than in subtotal occlusions but may relieve angina in some patients. Occluded saphenous vein grafts can be dilated and long-term patency achieved--particularly in grafts implanted for less than 36 months. Restenosis remains a major drawback; antithrombotic therapy (with heparin during PTCA and aspirin thereafter) is recommended. PTCA is a useful adjunct in acute myocardial infarction when thrombolytic therapy fails or is contraindicated, or when significant luminal narrowing remains after thrombolysis. Investigational devices--atherectomy catheters, lasers or laser balloons, and intracoronary stents--may further expand the role of PTCA.
P L Cole; R J Krone
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of critical illness     Volume:  6     ISSN:  1040-0257     ISO Abbreviation:  J Crit Illn     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1993-02-25     Completed Date:  1993-02-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8608118     Medline TA:  J Crit Illn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  166-88     Citation Subset:  T    
Washington University School of Medicine, St. Louis.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Arteriosclerosis / therapy
Graft Occlusion, Vascular / therapy
Treatment Outcome

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