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Transluminal intracoronary reperfusion catheter: a device to maintain coronary perfusion between failed coronary angioplasty and emergency coronary bypass surgery.

Publication ,  Journal Article
Hinohara, T; Simpson, JB; Phillips, HR; Stack, RS
Published in: J Am Coll Cardiol
May 1988

The reperfusion catheter is a 4.3F catheter with 30 holes over its distal 10 cm. It is used to maintain coronary blood flow in patients awaiting emergency coronary bypass surgery after failed coronary angioplasty. The insertion of the reperfusion catheter was attempted in 20 patients (14 with total occlusion and 6 with severe residual stenosis judged to be in jeopardy of reclosure before operation). The reperfusion catheter was successfully placed across the obstruction in 18 patients (90%). After successful insertion of the reperfusion catheter, 16 patients had good anterograde flow (Thrombolysis in Myocardial Infaction [TIMI] trial grade II or III); angiographic improvement was associated with significant lessening of ST segment elevation as well as a decrease in chest pain in most patients. Two patients had poor or absent anterograde flow (TIMI grade O or I) because of extensive preexisting intracoronary thrombosis; one died from refractory ventricular fibrillation. In each of the remaining patients emergency coronary bypass surgery was performed with no deaths or significant cardiac complications. The reperfusion catheter is a safe and effective method to reestablish and maintain coronary blood flow before coronary bypass surgery after failed coronary angioplasty. Because there is the potential risk of serious complications, particularly thrombus formation within this catheter, the reperfusion catheter should be used cautiously and the patient should undergo immediate bypass surgery.

Duke Scholars

Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

May 1988

Volume

11

Issue

5

Start / End Page

977 / 982

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Recurrence
  • Myocardial Infarction
  • Humans
  • Follow-Up Studies
  • Evaluation Studies as Topic
  • Emergencies
  • Coronary Disease
  • Coronary Circulation
  • Coronary Artery Bypass
 

Citation

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ICMJE
MLA
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Hinohara, T., Simpson, J. B., Phillips, H. R., & Stack, R. S. (1988). Transluminal intracoronary reperfusion catheter: a device to maintain coronary perfusion between failed coronary angioplasty and emergency coronary bypass surgery. J Am Coll Cardiol, 11(5), 977–982. https://doi.org/10.1016/s0735-1097(98)90054-7
Hinohara, T., J. B. Simpson, H. R. Phillips, and R. S. Stack. “Transluminal intracoronary reperfusion catheter: a device to maintain coronary perfusion between failed coronary angioplasty and emergency coronary bypass surgery.J Am Coll Cardiol 11, no. 5 (May 1988): 977–82. https://doi.org/10.1016/s0735-1097(98)90054-7.
Hinohara, T., et al. “Transluminal intracoronary reperfusion catheter: a device to maintain coronary perfusion between failed coronary angioplasty and emergency coronary bypass surgery.J Am Coll Cardiol, vol. 11, no. 5, May 1988, pp. 977–82. Pubmed, doi:10.1016/s0735-1097(98)90054-7.
Journal cover image

Published In

J Am Coll Cardiol

DOI

ISSN

0735-1097

Publication Date

May 1988

Volume

11

Issue

5

Start / End Page

977 / 982

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Recurrence
  • Myocardial Infarction
  • Humans
  • Follow-Up Studies
  • Evaluation Studies as Topic
  • Emergencies
  • Coronary Disease
  • Coronary Circulation
  • Coronary Artery Bypass