Balloon angioplasty in acute and chronic coronary artery disease

Holmes, Jr, D R; Vlietstra, R E

doi:10.1001/jama.1989.03420140111037

Title: Balloon angioplasty in acute and chronic coronary artery disease

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Abstract

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.

Authors:

Holmes, Jr, D R; Vlietstra, R E ^[1]

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

Publication Date:: Fri Apr 14 00:00:00 EDT 1989

OSTI Identifier:: 5475152

Resource Type:: Journal Article

Journal Name:: JAMA, Journal of the American Medical Association; (USA)

Additional Journal Information:: Journal Volume: 261:14; Journal ID: ISSN 0098-7484

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; CARDIOVASCULAR DISEASES; DIAGNOSIS; CORONARIES; BIOMEDICAL RADIOGRAPHY; IRRADIATION PROCEDURES; SIDE EFFECTS; PATIENTS; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; DIAGNOSTIC TECHNIQUES; DISEASES; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)

Citation Formats


                    Holmes, Jr, D R, and Vlietstra, R E. Balloon angioplasty in acute and chronic coronary artery disease.  United States: N. p., 1989. 
        Web.  doi:10.1001/jama.1989.03420140111037.

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                    Holmes, Jr, D R, & Vlietstra, R E. Balloon angioplasty in acute and chronic coronary artery disease.  United States.  https://doi.org/10.1001/jama.1989.03420140111037

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                    Holmes, Jr, D R, and Vlietstra, R E. 1989.  
        "Balloon angioplasty in acute and chronic coronary artery disease".  United States.  https://doi.org/10.1001/jama.1989.03420140111037.

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@article{osti_5475152,

  title        = {Balloon angioplasty in acute and chronic coronary artery disease},

  author       = {Holmes, Jr, D R and Vlietstra, R E},

  abstractNote = {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.},

  doi          = {10.1001/jama.1989.03420140111037},

  url          = {https://www.osti.gov/biblio/5475152},
  journal      = {JAMA, Journal of the American Medical Association; (USA)},

  issn         = {0098-7484},

  number       = ,

  volume       = 261:14,

  place        = {United States},

  year         = {Fri Apr 14 00:00:00 EDT 1989},

  month        = {Fri Apr 14 00:00:00 EDT 1989}

}

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