| Autor: |
Stone, Gregg W., Rutherford, Barry D., McConahay, David R., Johnson, Warren L., Giorgi, Lee V., Ligon, Robert W., Hartzler, Geoffrey O. |
| Zdroj: |
Journal of the American College of Cardiology; March 1990, Vol. 15 Issue: 4 p849-856, 8p |
| Abstrakt: |
This study analyzes the results of angioplasty in 905 consecutive patients with 971 total occlusions. The procedures were performed by five cardiologists from January 1980 to January 1989 at one institution. The overall success rate per lesion was 72%. Even the most experienced operator (524 occlusions attempted) has continued to improve on a learning curve, with 83% of his most recent 100 occlusions successfully dilated. Procedural death occurred in seven patients (0.8%), five patients (0.6%) sustained a myocardial infarction and seven patients (0.8%) required urgent coronary bypass surgery. Complications were significantly more likely to occur in the elderly, in women and in patients with triple vessel disease and depressed left ventricular function. Compared with angioplasty in 6,950 patients with nonoccluded stenoses, angioplasty of total occlusions had a lower success rate (72% versus 96%, p = 0.001), although the complication rate was also lower (1.9% versus 3.5%, p = 0.01). |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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