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Treatment of long coronary artery narrowings with long angioplasty balloon catheters.

Publication ,  Journal Article
Tenaglia, AN; Zidar, JP; Jackman, JD; Fortin, DF; Krucoff, MW; Tcheng, JE; Phillips, HR; Stack, RS
Published in: Am J Cardiol
June 1, 1993

Balloon angioplasty of long coronary artery narrowings has been associated with a lower rate of acute success, and a higher rate of acute complications and restenosis than that observed for short narrowings. Angioplasty catheters with longer length balloons (30 and 40 mm) are now available, and the objective of this study was to determine the acute and long-term success for patients with long coronary artery narrowings treated with these longer balloons. All patients with long narrowings (> or = 10 mm) treated with long balloons at 1 institution over a 1-year period were identified (93 narrowings in 89 patients), and acute and long-term outcomes were carefully documented. Procedural success (residual stenosis < or = 50%) was 97%. Abrupt closure occurred in 6% and major dissection in 11% of narrowings. Clinical success (procedural success without in-hospital death, bypass surgery or myocardial infarction) was achieved in 90% of patients. Repeat catheterization was performed in 61 patients (76% of those eligible), and restenosis was found in 50 to 55%, depending on the definition used. The treatment of long coronary artery narrowings using angioplasty catheters with longer balloons leads to high rates of acute success. However, there is a high rate of restenosis. New interventional devices for long lesions should be compared with long balloons in a randomized controlled trial.

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

June 1, 1993

Volume

71

Issue

15

Start / End Page

1274 / 1277

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Recurrence
  • Radiography
  • Middle Aged
  • Male
  • Humans
  • Female
  • Coronary Disease
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary
 

Citation

APA
Chicago
ICMJE
MLA
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Tenaglia, A. N., Zidar, J. P., Jackman, J. D., Fortin, D. F., Krucoff, M. W., Tcheng, J. E., … Stack, R. S. (1993). Treatment of long coronary artery narrowings with long angioplasty balloon catheters. Am J Cardiol, 71(15), 1274–1277. https://doi.org/10.1016/0002-9149(93)90539-o
Tenaglia, A. N., J. P. Zidar, J. D. Jackman, D. F. Fortin, M. W. Krucoff, J. E. Tcheng, H. R. Phillips, and R. S. Stack. “Treatment of long coronary artery narrowings with long angioplasty balloon catheters.Am J Cardiol 71, no. 15 (June 1, 1993): 1274–77. https://doi.org/10.1016/0002-9149(93)90539-o.
Tenaglia AN, Zidar JP, Jackman JD, Fortin DF, Krucoff MW, Tcheng JE, et al. Treatment of long coronary artery narrowings with long angioplasty balloon catheters. Am J Cardiol. 1993 Jun 1;71(15):1274–7.
Tenaglia, A. N., et al. “Treatment of long coronary artery narrowings with long angioplasty balloon catheters.Am J Cardiol, vol. 71, no. 15, June 1993, pp. 1274–77. Pubmed, doi:10.1016/0002-9149(93)90539-o.
Tenaglia AN, Zidar JP, Jackman JD, Fortin DF, Krucoff MW, Tcheng JE, Phillips HR, Stack RS. Treatment of long coronary artery narrowings with long angioplasty balloon catheters. Am J Cardiol. 1993 Jun 1;71(15):1274–1277.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

June 1, 1993

Volume

71

Issue

15

Start / End Page

1274 / 1277

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Recurrence
  • Radiography
  • Middle Aged
  • Male
  • Humans
  • Female
  • Coronary Disease
  • Cardiovascular System & Hematology
  • Angioplasty, Balloon, Coronary