Acute complications of elective coronary angioplasty: a review of 500 consecutive procedures

Details

Serval ID
serval:BIB_634B35FDFA7F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Acute complications of elective coronary angioplasty: a review of 500 consecutive procedures
Journal
British Heart Journal
Author(s)
Steffenino  G., Meier  B., Finci  L., Velebit  V., von Segesser  L., Faidutti  B., Rutishauser  W.
ISSN
0007-0769
Publication state
Published
Issued date
02/1988
Peer-reviewed
Oui
Volume
59
Number
2
Pages
151-8
Notes
Journal Article --- Old month value: Feb
Abstract
In 500 consecutive procedures of elective coronary angioplasty attempted at a centre with a primary success of 86%, one or more major acute complications occurred in 34 cases (6.8%). Twenty four patients (4.8%) sustained an acute myocardial infarction (in six this was despite emergency coronary artery bypass surgery) and two patients (0.4%) had emergency coronary bypass without myocardial infarction. Ventricular fibrillation was a complication without sequelae in five (1.0%) patients; one (0.2%) patient died because of refractory ventricular fibrillation and ensuing electromechanical dissociation. "Benign" coronary artery rupture occurred in one (0.2%) patient, and one (0.2%) patient had elective coronary surgery to retrieve the tip of a fractured guide wire after an otherwise successful angioplasty. Despite a low mortality, coronary angioplasty is associated with major complications in about one of 14 procedures; the complication is usually acute myocardial infarction caused by occlusion of the vessel.
Keywords
Adult Aged Angioplasty, Balloon/*adverse effects Coronary Disease/etiology/pathology/radiography/*therapy Female Humans Male Middle Aged Myocardial Infarction/etiology Ventricular Fibrillation/etiology
Pubmed
Web of science
Create date
14/02/2008 14:16
Last modification date
20/08/2019 14:19
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