| Short-term outcome and long-term follow-up following coronary angioplasty in the young patient: an 8-year experience. | |
| | |
MedLine Citation:
|
PMID: 2816698 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
From 8000 consecutive percutaneous transluminal coronary angioplasty (PTCA) procedures performed between 1980 and 1988, 89 separate PTCA procedures (1.1%) were performed in 71 patients less than or equal to 35 years of age. Multivessel disease was present in 41 patients (58%). Eleven procedures (12.4%) were done for acute myocardial infarction. Of 253 lesions attempted, 242 (95.6%) were successfully dilated. Complications consisted of just a single urgent bypass operation (1.1%). At mean follow-up of 32 months, 50 patients (72.5%) were asymptomatic. Late events consisted of one death (1.4%), four nonfatal infarctions (5.8%), and seven bypass surgeries (10.1%). Seventeen patients (24.6%) required 25 repeat PTCAs; restenosis was present in 12 of these patients while progression of native disease was noted in nine patients. In the young patient with coronary artery disease, PTCA can be performed safely, with a high success rate and few complications. Though the 3-year survival is excellent, a significant proportion of these patients develop nonfatal infarction or require repeat PTCA or bypass surgery, often for progression of native disease in addition to restenosis. |
| | |
Authors:
|
G W Stone; R W Ligon; B D Rutherford; D R McConahay; G O Hartzler |
Related Documents
:
|
17655948 - Treatment of acute myocardial infarction in pregnancy with coronary artery balloon angi... 7586768 - Coronary angioplasty for the control of intractable ventricular arrhythmia. 2688988 - Usefulness of calcium entry blockers during and after percutaneous transluminal coronar... 11550358 - Hemorrhagic myocardial infarction after coronary reperfusion detected in vivo by magnet... 3955308 - Attenuation by isosorbide dinitrate of coronary occlusion-induced acidosis in the dog m... 23511188 - Management of postcardiac arrest myocardial dysfunction. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: American heart journal Volume: 118 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1989 Nov |
Date Detail:
|
Created Date: 1989-12-05 Completed Date: 1989-12-05 Revised Date: 2006-02-27 |
Medline Journal Info:
|
Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 873-7 Citation Subset: AIM; IM |
Affiliation:
|
Mid-America Heart Institute, St. Luke's Hospital, Kansas City, MO. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Angiography Angioplasty, Transluminal, Percutaneous Coronary* Coronary Angiography Coronary Disease / therapy Follow-Up Studies Humans Myocardial Infarction / therapy Postoperative Complications Reoperation Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Argon ion laser-excited autofluorescence in normal and atherosclerotic aorta and coronary arteries: ...
Next Document: Percutaneous balloon mitral valvuloplasty in children and young adults with rheumatic mitral stenosi...