Coronary atherectomy with the transluminal extraction endarterectomy catheter.
Percutaneous transluminal coronary atherectomy was attempted in 25 consecutive patients with the transluminal extraction-endarterectomy catheter. Successful revascularization with residual stenosis less than 50% in diameter was achieved in 23 patients (92%). There were 2 cases of major complications: one with distal embolization which subsided after rtPA infusion and the other with occlusion of RCA underwent bypass surgery. One patient who had restenosis 3 months after the procedure, was successfully treated with PTCA. The technical aspects, advantages and limitations of this method were discussed.
Kuan
P
P
Department of Medicine, Taiwan University Hospital, Taipei.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization; D002478:Cells, Cultured; D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D004691:Endarterectomy / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009131:Muscle, Smooth, Vascular / Q000473:pathology