title: [Coronary angioplasty with the implantation of a vascular support (stent)].
abstract: 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.
authors.affiliation: Abteilung Kardiologie und Pulmonologie, Zentrum Innere Medizin der Universität Göttingen.
authors.forename: U
authors.initials: U
authors.lastname: Tebbe
authors.forename: R A
authors.initials: RA
authors.lastname: Schatz
authors.forename: K H
authors.initials: KH
authors.lastname: Scholz
authors.forename: S
authors.initials: S
authors.lastname: Brune
authors.forename: G
authors.initials: G
authors.lastname: Sauer
authors.forename: H
authors.initials: H
authors.lastname: Kreuzer
mesh_terms: 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
vernacular_title: Koronare Angioplastie mit Implantation einer Gefässstütze (Stent).