Long-term efficacy of triple-vessel angioplasty in patients with severe three-vessel coronary artery disease
| Autor: | George W. Vetrovec, Michael J. Cowley, Mark Warner, Evelyne Goudreau, M.Nagui Sabri, Ravinder S. Kohli, Kim Kelly, Germano DiSciascio |
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| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Coronary Disease Coronary artery disease Recurrence Internal medicine Angioplasty medicine.artery Medicine Humans Life Tables Myocardial infarction Angioplasty Balloon Coronary Coronary Artery Bypass Aged Retrospective Studies Aged 80 and over business.industry Vascular disease Middle Aged medicine.disease Prognosis Surgery Coronary arteries Transplantation Survival Rate medicine.anatomical_structure Treatment Outcome Bypass surgery Right coronary artery Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | American heart journal. 124(5) |
| ISSN: | 0002-8703 |
| Popis: | Between May 1982 and December 1988, a total of 103 patients underwent angioplasty of all three major coronary arteries at a single institution. Angiographic success was achieved in 334 of 352 vessels (95%) and in 441 of 460 lesions (96%). No patients required urgent bypass surgery, and none died during the procedure; six had non-Q wave infarctions. The mean length of follow-up time was 49 ± 15 months (range 28 to 107 months). There have been 11 deaths, and one patient has undergone cardiac transplantation. Thirty-six patients had a clinical recurrence; 30 had repeat angioplasty and five had bypass surgery. Another nine patients eventually had bypass surgery after the clinical recurrence. At 48 months actuarial event-free rates are myocardial infarction, 98%; bypass surgery, 88%; and death, 89%. Of 86 current survivors, 58 are in functional class O to I, 21 are in class II, and seven are in class III. |
| Databáze: | OpenAIRE |
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