| Risks of coronary arteriography and bypass surgery in patients with left main coronary artery stenosis. | |
| | |
MedLine Citation:
|
PMID: 6971734 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The risk of coronary arteriography is considerably increased in patients who have left main coronary artery stenosis (LMCAS). Among 1,060 patients undergoing coronary arteriography over a three-year period, 83 were found to have LMCAS and three of these patients died (3.6 percent) during or shortly after the arteriographic procedure. Bypass surgery, however, can now be carried out at a very low risk irrespective of the degree of coronary disease present--there was no hospital mortality in 74 patients with LMCAS undergoing bypass surgery at our institution during this period. In addition to careful attention to detail, techniques that can minimize the risk of both of these procedures in patients with LMCAS include invasive hemodynamic monitoring and various pharmacologic manipulations to prevent myocardial ischemia. In a small percentage of patients, rest angina may prove refractory to inhospital medical treatment, and intraaortic balloon pumping may be necessary to stabilize the conditions of these patients before proceeding with arteriography and myocardial revascularization. |
| | |
Authors:
|
D W Miller; F M Tobis; T D Ivey; S A Rubenstein |
Related Documents
:
|
23040584 - Development of a novel echocardiography ramp test for speed optimization and diagnosis ... 23272274 - Global and segmental myocardial deformation by 2d speckle tracking compared to visual a... 10767114 - Routine coronary arteriography following thrombolytic therapy for acute myocardial infa... 23371884 - Absolute quantification of myocardial blood flow with constrained estimation of the art... 17643644 - What is the optimal management of infants with coarctation and ventricular septal defect? 6707654 - Visual localisation in patients with occipital infarction. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Chest Volume: 79 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1981 Apr |
Date Detail:
|
Created Date: 1981-07-09 Completed Date: 1981-07-09 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 387-92 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Angina Pectoris / therapy Catheterization / methods Constriction, Pathologic / surgery Coronary Angiography* Coronary Artery Bypass* / methods Coronary Disease / radiography, surgery* Humans Intra-Aortic Balloon Pumping Male Middle Aged Monitoring, Physiologic Risk |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Further studies on glucametacin in rheumatoid arthritis and in other chronic types of rheumatism.
Next Document: Results of gastric neutralization with hourly antacids and cimetidine in 320 intubated patients with...