[One session diagnostic heart catheterization and balloon dilatation ("prima vista"-PTCA): results and risks].
Percutaneous transluminal coronary angioplasty (PTCA) immediately after elective diagnostic cardiac catheterization ("prima vista"-PTCA) was performed in 124 patients (group 1) with typical angina pectoris (96 men, 28 women; mean age 60 +/- 10 [25-86] years). In a case-control analysis the results and complications, as well as the volume of contrast media and amount of radiation exposure were compared with a group of patients with similar symptoms (group 2) who during the same period had undergone angiography at another hospital and subsequently PTCA in our department (96 men, 28 women; mean age 60 +/- 8 [39-78] years). The success rate in group 1 (122 of 138 stenoses: 92.1%) was similar to that in group 2 (122 of 138 stenoses: 88.4%). Complications (coronary artery dissection with occlusion, emergency operation, myocardial infarction) were rare in both groups (8 vs 5; difference not significant). But the combined procedure (group 1) used lower volumes of contrast medium (341 +/- 131 vs 250 +/- 113 ml; P < 0.001) and the cumulative fluoroscopic time was lower (33.7 +/- 19.5 vs 26.5 +/- 12.4 min; P < 0.002). With optimal logistic conditions, "prima vista"-PTCA under elective circumstances is a useful and patient-friendly alternative to the conventional two-session diagnostic and therapeutic procedures.
Lund
G K
GK
Abteilung für Kardiologie, Medizinische Klinik und Poliklinik, Universitäts-Krankenhaus Eppendorf, Hamburg.
Nienaber
C A
CA
Hamm
C W
CW
Terres
W
W
Kuck
K H
KH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000175:diagnosis* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects; D001157:Arterial Occlusive Diseases / Q000209:etiology; D006328:Cardiac Catheterization / Q000009:adverse effects; D016022:Case-Control Studies; D003287:Contrast Media; D017023:Coronary Angiography / Q000009:adverse effects; D003327:Coronary Disease / Q000209:etiology; D003331:Coronary Vessels / Q000293:injuries; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D011829:Radiation Dosage; D013997:Time Factors
D003287:Contrast Media
Einzeitige Herzkatheterdiagnostik und Ballondilatation ("prima-vista"-PTCA): Ergebnisse und Risiken.