Does coronary angioplasty replace, delay, or complement aortocoronary bypass surgery?

Abstract:

:In single vessel disease angioplasty can replace surgery in the majority of patients. In cases of recurrence at the site of angioplasty or in the case of progression elsewhere, a second intervention can be performed. Thus, in the majority of patients surgery can be replaced; in the minority it can be delayed. In patients with localized multivessel disease consisting of several localized, short stenoses the situation is similar. If coronary atherosclerosis involves long segments of one or more coronary arteries and in patients with vessel occlusions primary surgery is still the first choice of therapy. In some patients angioplasty can complement surgery. After surgery, angioplasty can be carried out in vessels not bypassed or after early bypass occlusion. Stenoses suitable for angioplasty can be treated with lower risk after surgery if collateral providing vessels are bypassed. Angioplasty can also complement surgery if bypass stenosis occurs in aortocoronary venous or in mammary artery bypasses.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Kaltenbach M

doi

10.1093/eurheartj/8.suppl_f.47

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

47-9

eissn

0195-668X

issn

1522-9645

journal_volume

8 Suppl F

pub_type

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