Does length or eccentricity of coronary stenoses influence the outcome of transluminal dilatation?

Abstract:

:In 526 patients undergoing a first percutaneous transluminal coronary angioplasty (PTCA) of a single native vessel, we studied the influence of length and eccentricity of the lesion on complications and primary success. Long stenoses (greater than or equal to 5 mm, n = 153) did not differ from short stenoses (less than or equal to 4 mm, n = 265) in terms of overall complications or gain in lumen diameter and distal pressure. Eccentric stenoses (n = 155) showed a lower rate of primary success than concentric stenoses (n = 338) (80% vs 89%, p less than 0.05). Inability to cross the stenosis was the main reason for failure. Stenoses that were long and eccentric (n = 51) had the highest incidence of complications (24%) and stenoses that were short and concentric (n = 177) the lowest (12%, p less than 0.05). However, the average outcome expressed by gain in lumen diameter and distal pressure was equal in both groups and is obviously more dependent on technical factors than on anatomy. Nevertheless, length and, particularly, eccentricity of a lesion constitute risk factors for PTCA. They may be overcome by technical skill and sophisticated equipment, such as steerable catheters.

journal_name

Circulation

journal_title

Circulation

authors

Meier B,Gruentzig AR,Hollman J,Ischinger T,Bradford JM

doi

10.1161/01.cir.67.3.497

subject

Has Abstract

pub_date

1983-03-01 00:00:00

pages

497-9

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

67

pub_type

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