[Current complication rate of percutaneous transluminal coronary angioplasty in stable and unstable angina].
During a four-year period (1983-1986) percutaneous transluminal coronary angioplasty (PTCA) was performed on 930 patients with stable or unstable angina with a mortality rate of 0.4%. A transmural myocardial infarct developed in 1.1% and 1.0% of patients required an urgent aorto-coronary bypass. Thus the total rate of severe cardiac complications was 2.5%. Compared with the years 1983-1985, there was in 1986 a significant fall in the number of deaths and of myocardial infarcts from 2.2% to 0.5% (P less than 0.05), while there was a nonsignificant increase in emergency coronary bypass surgery from 0.7 to 1.3%. Patients with unstable angina compared with those with stable angina had a significantly higher mortality rate (1.0% vs. 0.2%; P less than 0.05), incidence of infarction (2.0% vs. 0.6%; P less than 0.05), and emergency operations (2.0% vs. 0.5%; P less than 0.05). The total risk of a severe cardiac complication was 1.2% for stable and 5.2% for unstable angina (P less than 0.001).
Rupprecht
H J
HJ
II. Medizinische Klinik und Poliklinik der Universität Mainz.
Erbel
R
R
Brennecke
R
R
Pop
T
T
Jung
D
D
Kottmeyer
M
M
Hering
R
R
Meyer
J
J
D000783:Aneurysm / Q000209:etiology; D000787:Angina Pectoris / Q000628:therapy*; D000789:Angina, Unstable / Q000628:therapy; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000401:mortality; D001145:Arrhythmias, Cardiac / Q000209:etiology; D001164:Arteriovenous Fistula / Q000209:etiology; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D013923:Thromboembolism / Q000209:etiology
Aktuelle Komplikationsrate der perkutanen transluminalen Koronarangioplastie bei stabiler und unstabiler Angina.