The role of coronary angioplasty in patients with associated noncardiac medical and surgical conditions.
Percutaneous transluminal coronary angioplasty was performed in 22 patients with associated significant medical or surgical conditions. It was successful in 22 patients. Two had procedure-related complications: one femoral hematoma and one small myocardial infarction. The patients were divided into a 'medical' group (12 patients) and a 'surgical' group (10 patients). In the medical group, mean coronary artery stenosis decreased from 87 +/- 5% to 20 +/- 13% and mean coronary artery stenosis decreased from 57 +/- 2% to 16 +/- 7%. In the surgical group coronary artery stenosis decreased from 83 +/- 9% to 18 +/- 9% and the gradient from 49 +/- 16 to 16 +/- 6 mmHg. Percutaneous transluminal coronary angioplasty allowed the safe management of underlying conditions in all patients so that medical treatment could be continued and noncardiac surgery performed.
Gagnon
R M
RM
Department of Medicine, Notre-Dame Hospital, Montreal, Quebec.
Dumont
G
G
Sestier
F
F
Morissette
M
M
Doyle
D
D
Blaise
G A
GA
Delarohellière
R
R
D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001172:Arthritis, Rheumatoid / Q000150:complications; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery / Q000628:therapy; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D008173:Lung Diseases, Obstructive / Q000150:complications; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D009157:Myasthenia Gravis / Q000150:complications; D011379:Prognosis; D013514:Surgical Procedures, Operative