Document Detail


Preliminary experience at a Canadian centre with directional coronary atherectomy for complex lesions.
MedLine Citation:
PMID:  1756419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate preliminary experience of directional coronary atherectomy for complex coronary artery lesions. DESIGN: Nonrandomized, sequential patients with coronary arterial lesions that were ostial, eccentric, bulky, recurrent or membranous. SETTING: Cardiac catheterization laboratory of a tertiary referral general hospital. PATIENTS: Twenty-three patients with angina pectoris refractory to medical therapy who were suitable candidates for coronary bypass surgery. INTERVENTIONS: Directional coronary atherectomy with associated balloon angioplasty, if required, to reduce lesion stenosis to less than 25%. MAIN RESULTS: Primary success was achieved in 29 of 33 lesions (88%) by atherectomy alone and in 31 of 33 lesions (94%) by additional use of balloon angioplasty. Atherectomy retrieved tissue in 30 of 33 attempts (91%). One patient suffered Q wave myocardial infarction; one had acute occlusion after atherectomy requiring emergency balloon angioplasty; and one required repair of a false aneurysm of the femoral artery. CONCLUSIONS: Directional coronary atherectomy is safe and efficacious for ostial, bulky and eccentric lesions not optimally suited to balloon angioplasty. Lesions which have tortuous segments immediately beyond, restricting movement of the stiff nose-cone, and which are membranous or bandlike, may not be indicated for directional coronary atherectomy.
Authors:
D R Ricci; M D Moscovich; P J Kinahan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  7     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1992-01-31     Completed Date:  1992-01-31     Revised Date:  2008-04-09    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  399-406     Citation Subset:  IM    
Affiliation:
Vancouver General Hospital, British Columbia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Angiography
Coronary Artery Disease / radiography,  surgery*,  therapy
Endarterectomy / instrumentation,  methods*
Evaluation Studies as Topic
Female
Heart Catheterization
Humans
Male
Middle Aged

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


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