[Complex coronary angioplasty. I. Single or multiple dilatations in the involvement of several vessels in patients with coronary heart disease].
Coronary angioplasty was successfully performed in 658 of 752 multivessel disease patients. One lesion was attempted in 338 patients (45%), 2 or more in 414 patients (55%). Complications occurred in 39 patients (5.2%): 19 (2.5%) had a transmural infarction; 26 (3.5%) urgent surgery, and 14 (1.9%) died. Recurrence occurred in 233 (35%) of 658 patients with 162 (94.7%) of 171 having a successful 2nd angioplasty. Clinical improvement (followup: 31 months) remained in 81% of successful patients. Survival was not affected by the number of dilatations performed but was adversely affected by the presence of prior aorto-coronary bypass, surgery and ventricular dysfunction. Angioplasty can be an effective treatment without the need to dilate all vessels.
Dorros
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G
Levin
R F
RF
Mathiak
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L
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000150:complications / Q000401:mortality / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D012008:Recurrence; D014922:Wisconsin
Kompleksnaia koronarnaia angioplastika. I. Edinichnye ili mnozhestvennye dilatatsii pri porazhenii neskol'kikh sosudov u bol'nykh koronarnoĭ bolezn'iu serdtsa.