Balloon angioplasty in acute and chronic coronary artery disease

Journal Article · Fri Apr 14 00:00:00 EDT 1989 · JAMA, Journal of the American Medical Association; (USA)

DOI:https://doi.org/10.1001/jama.1989.03420140111037· OSTI ID:5475152

Holmes, Jr, D R; Vlietstra, R E ^[1]

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1. Mayo Clinic and Mayo Foundation, Rochester, MN (USA)

Percutaneous transluminal coronary angioplasty has grown exponentially since its introduction. Currently, selection criteria include single-vessel and multivessel disease, stable and unstable angina, and acute infarction. The outcome depends on specific patient and antiographic characteristics. In ideal lesions, success rates should be greater than 90%, with low morbidity and mortality. With more severe and diffuse multivessel disease, success rates are lower and complication rates are higher. In these cases, percutaneous transluminal coronary angioplasty still offers a reasonable option, provided complete revascularization can be achieved or the angina-producing lesion dilated. Numerous issues remain unresolved, including (1) the role of percutaneous transluminal coronary angioplasty vs coronary surgery (currently being tested), (2) restenosis, which occurs in approximately 30% of treated lesions, and (3) organizational adjustments such as training and certification to maintain high standards of care.

• OSTI ID: 5475152
• Journal Information: JAMA, Journal of the American Medical Association; (USA), Vol. 261:14; ISSN 0098-7484
• Country of Publication: United States
• Language: English

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PATIENTS
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