[Acute occlusion of the coronary artery after transluminal balloon coronary angioplasty].
Acute occlusion of the coronary artery is one of the most grave complications of transluminal balloon coronary angioplasty (TBCA). Singling out a group of patients at risk of developing this complication is important for the definition of indications for TBCA, for prediction of its results, and selection of treatment strategy. This research was aimed at elucidation of the relationship of the clinical and angiographic factors, on the one hand, and development of acute occlusion following TBCA, on the other. TBCA was carried out in 162 patients. Eight (4.9%) patients developed acute occlusion of the coronary artery, which was complicated by acute myocardial infarction in 50% cases. It was preceded by complicated stenosis before TBCA and manifest dissection of the vascular wall after the procedure. Occlusion of the coronary artery was effectively eliminated by intravenous and intracoronary thrombolysis, repeated emergency TBCA, and aortocoronary shunting.
Savchenko
A P
AP
Matchin
Iu G
IuG
Liakishev
A A
AA
D000208:Acute Disease; D000328:Adult; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D012307:Risk Factors; D015912:Thrombolytic Therapy
Ostraia okkliuziia koronarnoĭ arterii posle transliuminal'noĭ ballonnoĭ koronarnoĭ angioplastiki.