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Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty.

Publication ,  Journal Article
Jackman, JD; Zidar, JP; Tcheng, JE; Overman, AB; Phillips, HR; Stack, RS
Published in: Am J Cardiol
June 1, 1992

Prolonged balloon inflation with or without autoperfusion techniques is a common initial approach to major dissection or abrupt occlusion after percutaneous transluminal coronary angioplasty (PTCA). To assess such a strategy in the setting of unsuccessful angioplasty, 40 patients who underwent prolonged balloon inflations of greater than 20 minutes between January and July of 1991 after initially unsuccessful angioplasty were studied. These patients (median age 59 years) underwent PTCA for progressive or unstable angina (16[40%]), symptomatic or asymptomatic residual stenosis after myocardial infarction (10[25%]), acute myocardial infarction (3[8%]), stable angina (3[8%]), reinfarction (2[5%]), and other indications (6[15%]). The significant stenoses were primarily in the proximal and midportions of the right coronary (53%), left anterior descending (30%) and left circumflex (17%) coronary arteries. Before prolonged balloon inflation, the longest single inflation was 11 +/- 6 minutes and the total time of all inflations was 17 +/- 8 minutes (mean +/- standard deviation). Stenosis was reduced from 91 +/- 9 to 68 +/- 16% before prolonged inflation. After prolonged balloon inflation of 30 +/- 9 minutes, the residual stenosis was 47 +/- 21% (p = 0.0001 vs value before prolonged inflation). Furthermore, improvements in the appearance of filling defects or dissections, or both, occurred in 19 patients (48%). Procedural success was obtained in 32 of 40 patients (80%). Coronary bypass grafting was performed in 8 patients (20%): 4 after unsuccessful PTCA (3 emergently) and 4 electively after initially successful PTCA. Although 5 patients had creatine kinase-MB elevations greater than 20 IU/liter after the procedure, only 1 sustained a Q-wave myocardial infarction. There were no deaths in the hospital.(ABSTRACT TRUNCATED AT 250 WORDS)

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

June 1, 1992

Volume

69

Issue

17

Start / End Page

1417 / 1421

Location

United States

Related Subject Headings

  • Time Factors
  • Recurrence
  • Middle Aged
  • Male
  • Humans
  • Female
  • Coronary Disease
  • Coronary Angiography
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary
 

Citation

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Jackman, J. D., Zidar, J. P., Tcheng, J. E., Overman, A. B., Phillips, H. R., & Stack, R. S. (1992). Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty. Am J Cardiol, 69(17), 1417–1421. https://doi.org/10.1016/0002-9149(92)90893-4
Jackman, J. D., J. P. Zidar, J. E. Tcheng, A. B. Overman, H. R. Phillips, and R. S. Stack. “Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty.Am J Cardiol 69, no. 17 (June 1, 1992): 1417–21. https://doi.org/10.1016/0002-9149(92)90893-4.
Jackman JD, Zidar JP, Tcheng JE, Overman AB, Phillips HR, Stack RS. Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty. Am J Cardiol. 1992 Jun 1;69(17):1417–21.
Jackman, J. D., et al. “Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty.Am J Cardiol, vol. 69, no. 17, June 1992, pp. 1417–21. Pubmed, doi:10.1016/0002-9149(92)90893-4.
Jackman JD, Zidar JP, Tcheng JE, Overman AB, Phillips HR, Stack RS. Outcome after prolonged balloon inflations of greater than 20 minutes for initially unsuccessful percutaneous transluminal coronary angioplasty. Am J Cardiol. 1992 Jun 1;69(17):1417–1421.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

June 1, 1992

Volume

69

Issue

17

Start / End Page

1417 / 1421

Location

United States

Related Subject Headings

  • Time Factors
  • Recurrence
  • Middle Aged
  • Male
  • Humans
  • Female
  • Coronary Disease
  • Coronary Angiography
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary