Angioplasty for chronic total coronary occlusions: safety and efficacy.

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dc.contributor.authorMathew, O Pen_US
dc.contributor.authorDugal, J Sen_US
dc.contributor.authorJetley, Ven_US
dc.contributor.authorMalani, S Ken_US
dc.contributor.authorDatta, S Ken_US
dc.date.accessioned2002-10-06en_US
dc.date.accessioned2009-05-30T21:47:07Z
dc.date.available2002-10-06en_US
dc.date.available2009-05-30T21:47:07Z
dc.date.issued2002-10-06en_US
dc.description.abstractOBJECTIVE: To determine the short term results and safety of angioplasty in chronic coronary occlusions. METHODS: Eighty consecutive patients undergoing percutaneous transluminal coronary angioplasty (PTCA) for chronic coronary occlusions were prospectively analyzed for acute success rate and safety of the procedure. RESULTS: The mean age was 46.7 years (range 30-78 years). There were 72 males and eight females. Clinical presentation was recent myocardial infarction (MI) in four cases (5%), unstable angina in 20 (25%), chronic stable angina in 24 (30%) and past history of MI in 32 (40%) cases. Vessel distribution was left anterior descending artery (LAD) in 40 (50%), left circumflex artery (LCx) in 12 (15%) and right coronary artery (RCA) in 28 (35%) cases. Lesion length varied from 8 mm to 37 mm with a mean of 16.7 mm. Acute success rate was 70% (56/80). Twenty four cases (30%) had unsuccessful result due to failure to cross with wire (18 cases) or inability to cross with the balloon (six cases). One major complication in the form of type III coronary perforation was encountered which was successfully managed surgically. CONCLUSION: Percutaneous transluminal coronary angioplasty (PTCA) in chronic total occlusion has a reasonable success rate and very low complication rate.en_US
dc.description.affiliationDepartment of Cardiology, Military Hospital (Cardio-Thoracic Centre), Pune 411 040.en_US
dc.identifier.citationMathew OP, Dugal JS, Jetley V, Malani SK, Datta SK. Angioplasty for chronic total coronary occlusions: safety and efficacy. Journal of the Association of Physicians of India. 2002 Oct; 50(): 1251-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/88935
dc.language.isoengen_US
dc.source.urihttps://www.japi.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAngioplasty, Transluminal, Percutaneous Coronary --adverse effectsen_US
dc.subject.meshCohort Studiesen_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Restenosis --epidemiologyen_US
dc.subject.meshCoronary Stenosis --mortalityen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshSeverity of Illness Indexen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleAngioplasty for chronic total coronary occlusions: safety and efficacy.en_US
dc.typeJournal Articleen_US
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