title: The role of coronary angioplasty in patients with associated noncardiac medical and surgical conditions.
abstract: 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.
authors.affiliation: Department of Medicine, Notre-Dame Hospital, Montreal, Quebec.
authors.forename: R M
authors.initials: RM
authors.lastname: Gagnon
authors.forename: G
authors.initials: G
authors.lastname: Dumont
authors.forename: F
authors.initials: F
authors.lastname: Sestier
authors.forename: M
authors.initials: M
authors.lastname: Morissette
authors.forename: D
authors.initials: D
authors.lastname: Doyle
authors.forename: G A
authors.initials: GA
authors.lastname: Blaise
authors.forename: R
authors.initials: R
authors.lastname: Delarohellière
mesh_terms: 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