Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Total coronary artery occlusion.

D S Baim, R D Safian

    Cardiovascular Clinics
    |January 1, 1988
    PubMed
    Summary
    This summary is machine-generated.

    Coronary angioplasty is now a viable option for patients with total occlusions, achieving over 75% success rates. Careful patient selection and technique are key to successful percutaneous coronary intervention (PCI) outcomes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Limitations of cineangiography Impact of new technologies for image processing and quantitation.

    Trends in cardiovascular medicine·2011
    Same author

    Comparison of PRE-dilatation vs direct stenting in coronary treatment using the Medtronic AVE S670 Coronary Stent System (the PREDICT trial).

    The American journal of cardiology·2001
    Same author

    Coronary artery stenting in the aged.

    Journal of the American College of Cardiology·2001
    Same author

    Economic assessment of rheolytic thrombectomy versus intracoronary urokinase for treatment of extensive intracoronary thrombus: Results from a randomized clinical trial.

    American heart journal·2001
    Same author

    Long-term clinical outcome and predictors of major adverse cardiac events after percutaneous interventions on saphenous vein grafts.

    Journal of the American College of Cardiology·2001
    Same author

    Comparison of self-expanding and balloon-expandable stents for the reduction of restenosis.

    The American journal of cardiology·2001
    Same journal

    Echo-Doppler in valvular heart disease.

    Cardiovascular clinics·1993
    Same journal

    Arrhythmias in valvular heart disease.

    Cardiovascular clinics·1993
    Same journal

    The electrocardiogram in valvular heart disease.

    Cardiovascular clinics·1993
    Same journal

    Acute rheumatic fever.

    Cardiovascular clinics·1993
    Same journal

    Valvuloplasty.

    Cardiovascular clinics·1993
    Same journal

    Immediate postoperative management.

    Cardiovascular clinics·1993
    See all related articles

    Area of Science:

    • Cardiology
    • Interventional Cardiology

    Background:

    • Subacute and chronic total occlusions were previously considered unsuitable for coronary angioplasty.
    • These occlusions now represent 10-15% of angioplasty procedures.

    Purpose of the Study:

    • To evaluate the efficacy and safety of percutaneous coronary intervention (PCI) for subacute and chronic total occlusions.
    • To identify critical factors for successful PCI in total occlusions.

    Main Methods:

    • Careful patient selection based on occlusion duration, length, morphology, and thrombus presence.
    • Specific techniques including soft guidewires, low-profile catheters, and prolonged heparinization.
    • Utilizing advanced equipment like thermal or mechanical angioplasty for challenging cases.

    Related Experiment Videos

    Main Results:

    • Primary success rates exceeding 75% are achievable with meticulous patient selection and technique.
    • Collateral blood flow acts as a safety net, resulting in a low incidence of emergency surgery.
    • Newer equipment may improve success in crossing the remaining 25% of total occlusions.

    Conclusions:

    • PCI is an important treatment option for patients with coronary total occlusions.
    • Careful attention to procedural details is crucial for optimizing outcomes.
    • Patients require close monitoring due to a higher risk of reclosure and restenosis post-PCI.