[Use of coronary vessel prosthesis. Complex coronary angioplasty under general anesthesia].
In 1995 we attempted to treat with PTCA 437 ischemic patients. We stended 29 patients (6.6%) with 34 stents. Emergency stenting was done in 5, semi-elective stenting in 6, and elective stents were applied in 18 patients with restenosis. We have achieved good angiological results without occurrence of myocardial infarction, with no emergency open heart surgery or death. No intracoronary thrombosis was observed during one-month follow-up with combined aspirin and ticlopidin treatment. Hemodynamical and angiological high-risk patients were treated under general anesthesia with assisted respiration. No complications were observed during the procedures. In cases of in-stent restenosis (17%) we redilated the coronary artery. This technique proved to be promising and is routinely applied world-wide to optimise immediate and long-term results of PTCA. The realisation of such interventional cardiological centers with appropriate financial background is an absolute requirement for spreading this technique in Hungary.
Szatmáry
L J
LJ
Semmelweis Orvostudományi Egyetem, Er- és Szívsebészeti Klinika, Budapest.
Nyikos
G
G
Kerkovits
G
G
Marozsán
I
I
D000368:Aged; D000768:Anesthesia, General; D015906:Angioplasty, Balloon, Coronary; D003327:Coronary Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*; D017202:Myocardial Ischemia / Q000601:surgery*; D015607:Stents
Koszorúér-protézisek alkalmazása. Altatásban végzett komplex coronaria angioplasztika.