[Coronary perfusion in acute vascular occlusion within the scope of transluminal coronary angioplasty].
The procedure of coronary perfusion during transluminal coronary angioplasty (TCA) is described. By using guide wires of a length of 300 cm it is possible to exchange a balloon catheter for a perfusion catheter in acute vascular occlusion. Arterial blood is withdrawn and correspondingly supplied distal to the occlusion to meet the myocardial need for sufficiently oxygenated blood. Ischemia resolves, resulting in the normalization of left ventricular function and resolution of subjective complaints. This procedure can maintain myocardial oxygen supply until emergency coronary bypass graft surgery or repeat angioplasty. It might help to reduce mortality secondary to transluminal coronary angioplasty.
Hopf
R
R
Kunkel
B
B
Schneider
M
M
Kaltenbach
M
M
D000800:Angioplasty, Balloon / Q000295:instrumentation; D017023:Coronary Angiography; D003326:Coronary Circulation; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D003331:Coronary Vessels / Q000473:pathology; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged
Koronarperfusion bei akutem Gefässverschluss im Rahmen der transluminalen Koronarangioplastik (TCA).