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Abstract
Selected patients underwent PTCA of multiple stenoses in different vessels or in the
same vessel. Three hundred nine patients underwent 685 PTCA procedures in various
combinations of arterial and vein graft stenoses. A multiple dilatation procedure
was defined as successful when all lesions attempted were successfully dilated, or
when the considered-critical-stenosis was successfully dilated and this resulted in
a patient clinical improvement. Angiographic success was achieved in 599 of 685 lesions
attempted (87.4%) and in 285 of 309 patients (92.2%). Complications included a mortality
rate of 1.0%, an MI rate of 4.2% per patient and 1.9% per lesion attempted, and a
3.6% incidence of emergency CABG. Follow-up data show that 58 patients (20.4%) had
clinical evidence of a lesion recurrence, and that 92.5% (37 of 40 patients) who underwent
repeat angioplasty had a successful procedure. A sustained clinical improvement was
obtained in 264 of 309 patients (85.4%). The data indicate that multiple dilatations
are feasible with good success rates and acceptable complication rates. Further evaluation
of this extended application of PTCA is needed to clearly establish its role in the
therapy of CAD.
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References
- Percutaneous transluminal coronary angioplasty: report from the NHLBI Registry.Am J Cardiol. 1982; 49: 2011-2020
- Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA Registry.Circulation. 1983; 67: 723-729
- Reoperation for recurrent coronary artery disease.Arch Surg. 1979; 114: 1269-1275
- Reoperation for myocardial revascularization.World J Surg. 1978; 2: 719-729
- Predictive variables in reoperation for coronary disease.J Thorac Cardiovasc Surg. 1978; 75: 186-192
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© 1984 Published by Elsevier Inc.
