| The current practice of percutaneous transluminal coronary angioplasty (PTCA) and stent deployment and their long-term results in unstable and stable angina. | |
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MedLine Citation:
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PMID: 12841485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous transluminal coronary angioplasty with stent implantation is a universally accepted therapeutic option for patients with coronary artery disease. Since introduction in 1977, angioplasty techniques have been greatly improved; the availability of better hardware, greater operator experience, better patient selection and the judicious use of adjunctive therapy like heparin, clopidogrel, platelet receptor antagonists like abciximab and the use of atherectomy/rotablator in given situations has greatly improved procedural outcome today. Angioplasty alleviates symptoms in patients with stable angina and also in unstable angina especially in high risk patients like those with pulmonary oedema, cardiogenic shock or patients refractory to conventional modes of therapy, though cost may be a prohibiting factor. The outcome of angioplasty in diabetic patients is universally poor and bypass surgery is always a better option. Women with coronary artery disease tend to have complex lesions with a sub-optimal outcome and a higher incidence of restenosis. Use of abciximab is always beneficial in both men and women. |
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Authors:
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B Soma Raju; Nitin K Rao |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of the Indian Medical Association Volume: 101 ISSN: 0019-5847 ISO Abbreviation: J Indian Med Assoc Publication Date: 2003 Feb |
Date Detail:
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Created Date: 2003-07-04 Completed Date: 2003-08-05 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7505608 Medline TA: J Indian Med Assoc Country: India |
Other Details:
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Languages: eng Pagination: 66-70 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Care Hospitals, Hyderabad 500001. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris
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therapy* Angina, Unstable / therapy Angioplasty, Transluminal, Percutaneous Coronary* Antibodies, Monoclonal / therapeutic use Diabetes Complications Female Humans Immunoglobulin Fab Fragments / therapeutic use Male Prognosis Recurrence Stents* |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Monoclonal; 0/Immunoglobulin Fab Fragments; 143653-53-6/abciximab |
| Comments/Corrections | |
Comment In:
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J Indian Med Assoc. 2004 Oct;102(10):588, 594
[PMID:
15887829
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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