[Transluminal angioplasty of the coronary arteries--An analysis of the most important complications by a postmortal study in the human heart (author's transl)].
The technique of dilatation of coronary obstructions with balloon-catheters according to Grüntzig was performed in 12 hearts with 17 proximal, predominantly excentric coronary stenoses. In all stenoses we saw a significant effect of dilatation with a mean increase of the diameter from 1.2 to 1.7 mm (p less than 0.001). Histological examinations revealed the following alterations: stretching (and compression) of the normal wall segment in most of the obstructions, injury of the plaque (11 times), perforation of the free wall (twice) and dissection of the wall (five times). The possible significance of these postmortal findings for the intravital application of the technique is discussed.
D002404:Catheterization / Q000009:adverse effects*; D003327:Coronary Disease / Q000473:pathology / Q000628:therapy*; D003331:Coronary Vessels; D004106:Dilatation; D006801:Humans
Zur transluminalen Angioplastie von Koronargefässen; Analyse der wichtigsten Komplikationen aufgrund postmortaler Untersuchungen am menschlichen Herzen.