Acute occlusion after percutaneous transluminal coronary angioplasty--a new approach.

Abstract:

:Between July 1980 and November 1982, there were 935 coronary angioplasties attempted at Emory University Hospital. Of these patients, 20 developed acute occlusion. Of these 20, 19 presented within 3 hr of surgery or within 3 hr after stopping a continuous heparin infusion. Five patients required emergency surgery, but in 15 nitrates, nifedipine, and/or repeat angioplasty reopened the artery and the patient could be stabilized on continuous infusions of heparin and nitroglycerin. In only one case was an occluding thrombus evident on angiographic examination. The mechanism of acute occlusion is unknown, but coronary artery spasm may play a role.

journal_name

Circulation

journal_title

Circulation

authors

Hollman J,Gruentzig AR,Douglas JS Jr,King SB 3rd,Ischinger T,Meier B

doi

10.1161/01.cir.68.4.725

subject

Has Abstract

pub_date

1983-10-01 00:00:00

pages

725-32

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

68

pub_type

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