[X-ray endovascular dilatation of coronary arteries in patients with unstable angina pectoris]
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X-ray endovascular dilatation of coronary arteries effectively treated unstable angina pectoris in patients. While some cases showed intimal dissection, clinical outcomes remained positive, with few complications due to intensive drug therapy.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Unstable angina pectoris poses significant cardiovascular risk.
- Endovascular dilatation is a key intervention for coronary artery disease.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of X-ray endovascular dilatation for coronary arteries in patients with unstable angina pectoris.
- To assess the incidence of complications and their clinical impact.
Main Methods:
- Retrospective analysis of 46 patients undergoing X-ray endovascular dilatation.
- Angiographical assessment of procedure effectiveness.
- Clinical follow-up to monitor anginal episodes and complications.
Main Results:
- Angioplasty was angiographically effective in 15 patients.
- Anginal episodes ceased in 13 patients.
- Coronary intimal dissection occurred in 5 patients, but with good clinical effect.
- Low complication rates were observed, potentially linked to intensive drug therapy.
Conclusions:
- X-ray endovascular dilatation is an effective treatment for unstable angina pectoris.
- Coronary intimal dissection, though observed, did not necessarily lead to poor clinical outcomes.
- Intensive drug therapy may contribute to a favorable safety profile for this intervention.
Abstract:
The outcomes of X-ray endovascular dilatation of coronary arteries in 46 patients with unstable angina pectoris are presented. Angioplasty proved to be angiographical-ly effective in 15 cases, anginal episodes ceased in 13. In 5 patients, successful dilatation was accompanied by coronary intimal dissection, as evidenced by angiography; however, its clinical effect was good. Low incidence rates of complications was likely to be associated with the relative normalization of the patients' condition during intensive drug therapy.