Atrial coronary artery occlusion during elective percutaneous coronary angioplasty
| Autor: | Dabit Arzamendi Aizpurua, Antoni Serra Peñaranda, Miquel Vives-Borrás, Jesús Álvarez-García, Andreu Ferrero, Juan Cinca |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Side-branch occlusion Percutaneous Atrial coronary artery medicine.medical_treatment Coronary Artery Disease Coronary Angiography Risk Factors Angioplasty Internal medicine Coronary Circulation parasitic diseases Occlusion Stent medicine Pressure Humans cardiovascular diseases Circumflex Percutaneous transluminal coronary angioplasty Angioplasty Balloon Coronary Aged Retrospective Studies business.industry Incidence General Medicine Middle Aged Surgery Coronary arteries Ostium medicine.anatomical_structure Coronary Occlusion Spain cardiovascular system Cardiology Female Stents business Cardiology and Cardiovascular Medicine TIMI |
| Zdroj: | Cardiovascular Revascularization Medicine. 14(5):270-274 |
| ISSN: | 1553-8389 |
| DOI: | 10.1016/j.carrev.2013.07.007 |
| Popis: | BackgroundAtrial arteries arise from the right and left circumflex coronary arteries and they may be accidentally occluded during percutaneous coronary angioplasty; however, this complication is not well known. The aim of our study was to analyze the incidence and risk factors of accidental atrial branch occlusion (ABO) during elective angioplasty.Methods and MaterialsClinical records and coronary angiography of 200 patients undergoing elective angioplasty were retrospectively analyzed. Atrial branches were identified and in each vessel we measured the luminal diameter, flow grade, and the location of atherosclerotic plaques. Patients were allocated either into the ABO group if atrial branch flow fell from TIMI grades 2–3 to 0–1 after procedure or in the non-ABO group if TIMI flow was preserved.ResultsAtrial branch occlusion occurred in 43 (21.5%) patients. The atrial branch diameter was larger in non-ABO than in ABO group (1.29mm, SD 0.33 versus 0.97mm, SD 0.22, p= |
| Databáze: | OpenAIRE |
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