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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1999-4-1
pubmed:abstractText
Previous studies suggest that slow and/or oscillating balloon inflation during coronary angioplasty may decrease the incidence of coronary dissection and improve clinical outcomes. To compare the effect of slow oscillating versus conventional fast inflation techniques on the incidence of severe coronary dissection during angioplasty, 622 patients were randomized to slow oscillating inflation versus fast inflation. Angiographic outcomes of the procedures and in-hospital clinical events were recorded. The primary end point of severe (type C, D, E, F) dissection occurred in 7.7% of patients undergoing slow oscillation and 6.6% of patients undergoing fast inflation (p = 0.87). Major complications (death, urgent coronary artery bypass graft surgery, stroke, abrupt closure, or Q-wave myocardial infarction) occurred in 4.7% of patients undergoing slow oscillation and 3.5% of patients undergoing fast inflation (p = 0.45). The 2 inflation strategies did not differ in the pressure at which the balloon achieved full expansion, angiographic success rate, residual stenosis, and incidence of all minor and/or major complications. We conclude that there is no benefit of slow oscillating inflation over routine fast inflation in angioplasty. Slow oscillating inflation did not dilate lesions at lower pressures, decrease the incidence of dissection or severe dissection, or reduce the incidence of adverse clinical outcomes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
83
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
675-80
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:10080417-Aged, pubmed-meshheading:10080417-Aneurysm, Dissecting, pubmed-meshheading:10080417-Angioplasty, Balloon, Coronary, pubmed-meshheading:10080417-Cerebrovascular Disorders, pubmed-meshheading:10080417-Cineradiography, pubmed-meshheading:10080417-Coronary Angiography, pubmed-meshheading:10080417-Coronary Artery Bypass, pubmed-meshheading:10080417-Coronary Disease, pubmed-meshheading:10080417-Coronary Vessels, pubmed-meshheading:10080417-Electrocardiography, pubmed-meshheading:10080417-Female, pubmed-meshheading:10080417-Humans, pubmed-meshheading:10080417-Incidence, pubmed-meshheading:10080417-Male, pubmed-meshheading:10080417-Middle Aged, pubmed-meshheading:10080417-Myocardial Infarction, pubmed-meshheading:10080417-Recurrence, pubmed-meshheading:10080417-Survival Rate, pubmed-meshheading:10080417-Time Factors, pubmed-meshheading:10080417-Treatment Outcome
pubmed:year
1999
pubmed:articleTitle
Comparison of slow oscillating versus fast balloon inflation strategies for coronary angioplasty.
pubmed:affiliation
Department of Cardiology, Geisinger Medical Center, Penn State Geisinger Health System, Danville 17822, USA. jblankenship@PSGH5.edu
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't