Angioplasty of occluded coronary arteries: use of thin shaft balloon over-the-wire system without pre-dilatation.
A retrospective review was done on 13 consecutive patients who underwent PTCA of totally occluded coronary arteries using a recently released thin shaft balloon over-the-wire angioplasty system. Balloon size was determined by the closest fit to the arterial size and used without predilatation techniques. This technique was initially successful in 12 patients with only 2 clinically insignificant episodes of distal embolization and one probable early reclosure. Using thin shaft angioplasty systems, balloon dilatation of totally occluded coronary arteries can be done safely with a single balloon in many cases resulting in simplified procedures and economic benefits.
Gilchrist
I C
IC
Division of Cardiology, Pennsylvania State University, Milton S. Hershey Medical Center Hershey 17033.
Clemson
B S
BS
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000628:therapy*; D003327:Coronary Disease / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies