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Selection of dilatation hardware for PTCA--1985
Catheterization and Cardiovascular Diagnosis
|January 1, 1985
Summary
Choosing the right coronary angioplasty dilatation hardware improves safety and reduces costs. This review introduces a risk:benefit ratio to guide selection of optimal, individualized equipment for percutaneous transluminal coronary angioplasty (PTCA).
Area of Science:
- Interventional Cardiology
- Medical Device Technology
Background:
- Coronary angioplasty relies heavily on dilatation hardware.
- Recent advancements have accelerated growth in percutaneous transluminal coronary angioplasty (PTCA) catheter and wire technology.
Purpose of the Study:
- To evaluate currently approved and investigational dilatation systems for coronary angioplasty.
- To provide guidance for selecting optimal dilatation equipment based on a risk:benefit ratio.
Main Methods:
- Review of approved and investigational coronary angioplasty dilatation systems.
- Introduction of a risk:benefit ratio framework (intimal trauma vs. back-up support).
Main Results:
- Various dilatation systems possess distinct merits and disadvantages.
- Individualized selection is crucial, considering operator preference, patient anatomy, and risk:benefit assessment.
Conclusions:
- Proper selection of dilatation hardware is key to facilitating coronary angioplasty, minimizing costs, and enhancing safety.
- A risk:benefit ratio approach aids in choosing optimal, individualized equipment for PTCA.