| Percutaneous transluminal coronary angioplasty in patients with two or more previous coronary artery bypass grafting operations. | |
MedLine Citation:
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PMID: 2967635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between 1979 and 1986, 65 of 76 patients (86%) (82% men, with a mean age of 58 +/- 8 years) with greater than or equal to 2 previous coronary artery bypass grafting (CABG) operations and symptomatic myocardial ischemia underwent successful percutaneous transluminal coronary angioplasty (PTCA). Sixty-two patients had 2 prior CABG operations, 10 had 3 and 4 had 4. Clinical characteristics included prior myocardial infarctions in 49 (65%), severe angina (class III or IV) in 47 (62%) and left ventricular ejection fraction less than or equal to 35% in 13 (17%). There were 139 lesions dilated: 1 lesion in 39 (51%), 2 in 22 (29%) and greater than or equal to 3 in 15 (20%) patients. Arterial lesions were successfully dilated in 71 of 81 cases (88%), vein grafts in 44 of 53 (83%) and mammary artery grafts in 3 of 5 (60%). In 12 patients, PTCA was used to dilate significant lesions less than 15 days after CABG in vessels which were unable to be bypassed. Significant complications were encountered in 4 patients (5%). These included 3 of 53 vein graft dilatations with embolization (6%), with 1 resulting in infarction and death, and 1 patient dying after emergency CABG. At hospital discharge, 65 patients were clinically improved. An apparent symptom-related lesion recurrence occurred in 23 of 65 patients (35%), with 5 patients dying of cardiac causes, 4 having CABG without previous angiography and 12 of 14 patients undergoing repeat successful PTCA (mean time and standard deviation 9 +/- 6 months).(ABSTRACT TRUNCATED AT 250 WORDS) |
Authors:
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G Dorros; R F Lewin; L M Mathiak; W D Johnson; J Brenowitz; T Schmahl; A Tector |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of cardiology Volume: 61 ISSN: 0002-9149 ISO Abbreviation: Am. J. Cardiol. Publication Date: 1988 Jun |
Date Detail:
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Created Date: 1988-06-24 Completed Date: 1988-06-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1243-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiology, St. Luke's Medical Center, Milwaukee, Wisconsin. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris
/
complications,
mortality,
therapy Angioplasty, Balloon* / adverse effects, methods Coronary Angiography Coronary Artery Bypass* Coronary Disease / complications, mortality, therapy* Female Follow-Up Studies Graft Occlusion, Vascular / complications, mortality, therapy* Humans Male Middle Aged Recurrence Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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