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[Coronary re-permealization by percutaneous transluminal coronary angiography in 100 patients with ischemic heart
1Semmelweis Orvostudományi Egyetem Er- és Szívsebészeti Klinika, Budapest.
Insights
Balloon angioplasty successfully treated stenoses in 100 ischemic patients, achieving high success rates. Careful follow-up is crucial to manage potential complications like thrombosis and restenosis.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Abstract:
The author carried out balloon angioplasty on native coronaries or venous saphena bypass grafts by 100 ischemic patients (67 males, 33 females). Previously 57 patients had myocardial infarction and 12 patients went through aorto-coronary bypass grafting. In all cases indicating the proper therapy mainly the angiologic state of coronary arteries was considered. Per patient 2.1 significant stenoses or occlusions were dilated with 90% angiologic, 91% clinical success rate. By 3 patients in one dilated coronary artery occurred therapy resistant thrombosis and secondary necrosis. One patient went through emergency bypass grafting, two patients died. The careful, clinical follow up has an important role in the first 6 months. During this period the restenoses must be recognized and we have to decide how to treat the patient correctly.