[Coronary angioplasty with the implantation of a vascular support (stent)].
Coronary angiography in a 55-year-old man with coronary heart disease and typical physical activity-induced angina revealed a subtotal stenosis in the middle third of the right coronary artery while left ventricular function was normal. Percutaneous transluminal coronary angioplasty (PTCA) was performed in January 1989, achieving a residual stenosis of less than 50%. However, restenosis of more than 90% developed within six months, necessitating another PTCA, followed immediately by implantation of a metal (Palmaz-Schatz) stent in the stenotic area. No stenosis was demonstrable afterwards. Maintenance medication with anticoagulants (phenprocoumon) and platelet-function inhibitors (aspirin and dipyridamole) was instituted and repeat angiography three months later demonstrated good dilatation results without any restenosis.
Tebbe
U
U
Abteilung Kardiologie und Pulmonologie, Zentrum Innere Medizin der Universität Göttingen.
Schatz
R A
RA
Scholz
K H
KH
Brune
S
S
Sauer
G
G
Kreuzer
H
H
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011292:Premedication / Q000379:methods; D011474:Prosthesis Design; D012008:Recurrence; D015607:Stents
Koronare Angioplastie mit Implantation einer Gefässstütze (Stent).