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Frequency and causes of failure with contemporary balloon coronary angioplasty and implications for new technologies

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      Abstract

      Over the past decade of percutaneous transluminal coronary angioplasty (PTCA), greater operator experience and improvements in balloon catheters and guidewires have resulted in lesion success rates of ≥90%.1,2 Despite the improved success of contemporary PTCA, numerous new technologies, including lasers, stents and atherectomy devices, have recently been introduced and championed as potential alternatives to the balloon catheter. The ease and success of current balloon procedures mandate that new therapies must either increase the primary success rates of interventional approaches, eliminate or help manage complications, or reduce restenosis. To better appreciate deficiencies with contemporary PTCA techniques that may be addressed with non-balloon catheter technologies, we analyzed the frequency, cause and outcome of failed PTCA in our most recent experience.
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      References

        • Detre K
        • Holubkov R
        • Kelsey S
        • Cowley M
        • Kent K
        • Williams D
        • Myler R
        • Faxon D
        • Holmes Jr, D
        • Bourassa M
        • Block P
        • Goselin A
        • Bentivoglio L
        • Leatherman L
        • Dorros G
        • King S
        • Galichia J
        • AI-Bassam M
        • Leon M
        • Robertson T
        • Passamani E
        Percutaneous transluminal coronary angioplasty in 1985–1986 and 1977–1981. The National Heart, Lung and Blood Institute Registry.
        N Engl J Med. 1988; 318: 265-270
        • Tuzcu EM
        • Simpfendorfer C
        • Dorosti K
        • Franco I
        • Hollman J
        • Badwhar K
        • Whitlow P
        Changing patterns in percutaneous transluminal coronary angioplasty.
        Am Heart J. 1989; 117: 1374-1377
        • Kahn JK
        • Hartzler GO
        Retrograde coronary angioplasty of isolated arterial segments through saphenous vein grafts.
        Cath Cardiovasc Diagn. 1990; 20: 88-93
        • Stone G
        • Rutherford BD
        • McConahay DR
        • Johnson WL
        • Giorgi LV
        • Ligon RW
        • Hartzler GO
        Procedural outcome of angioplasty for total coronary arteries occlusion: an analysis of 971 lesions in 905 patients.
        J Am Coll Cardiol. 1990; 15: 849-856
        • Quigley PJ
        • Hinohara T
        • Phillips HR
        • Peter RH
        • Behar VS
        • Kong Y
        • Simonton CA
        • Perez JA
        • Stack RS
        Myocardial protection during coronary angioplasty with an autoperfusion balloon catheter in humans.
        Circulation. 1988; 78: 1128-1134