 |
|
Balloon Angioplasty in Acute and Chronic Coronary Artery Disease
David R. Holmes, Jr, MD;
Ronald E. Vlietstra, MB, ChB
JAMA. 1989;261(14):2109-2115.
Abstract
| |
Percutaneous transluminal coronary angioplasty has grown exponentially since its introduction. Currently, selection criteria include single-vessel and multivessel disease, stable and unstable angina, and acute infarction. The outcome depends on specific patient and angiographic characteristics. In ideal lesions, success rates should be greater than 90%, with low morbidity and mortality. With more severe and diffuse multivessel disease, success rates are lower and complication rates are higher. In these cases, percutaneous transluminal coronary angioplasty still offers a reasonable option, provided complete revascularization can be achieved or the angina-producing lesion dilated. Numerous issues remain unresolved, including (1) the role of percutaneous transluminal coronary angioplasty vs coronary surgery (currently being tested), (2) restenosis, which occurs in approximately 30% of treated lesions, and (3) organizational adjustments such as training and certification to maintain high standards of care.
(JAMA. 1989;261:2109-2115)
Author Affiliations
From the Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
This article is one of a series sponsored by the American Heart Association.
Reprint requests to Mayo Clinic, 200 First St SW, Rochester, MN 55905 (Dr Holmes).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Geographical miss during intracoronary irradiation: impact on restenosis and determination of required safety margin length
Syeda et al.
J Am Coll Cardiol 2002;40:1225-1231.
ABSTRACT
| FULL TEXT
|
