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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1993-3-2
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pubmed:abstractText |
Laser and catheter technology have been considerably improved within the first 2 years of the clinical use of coronary excimer laser angioplasty. Furthermore, patient selection has changed due to increasing operator experience. We report on the acute- and long-term results achieved in 163 patients in three subgroups with different system parameters and catheter technology. In the initial series 1 (N:60) a prototype catheter with a diameter of 1.4 mm was used. In series 2 and 3, we employed improved transmission devices with 1.3, 1.5 or 1.8 mm. In series 3 the pulsewidth was increased from 60 ns to 115 ns. The target vessel was the LAD in 68%, the LCX in 10%, and the RCA in 21%. According to the AHA/ACC Lesion classification there were 13% type A, 26% type B1, 55% type B2, and 5% type C lesions. Stand-alone laser angioplasty was performed in 23/60 (38%), 24/40 (60%), and 34/64 (53%) in series 1, 2, and 3, respectively. Additional balloon angioplasty was necessary in 32, 11, and 21 interventions. Failure of laser angioplasty occurred in five patients of series 1 and 2, and nine patients of series 3. Frequently observed complications included coronary spasm in 18 to 32%, dissections in 16% to 33%, and vessel closure in 18 to 27%. Myocardial infarction occurred in three patients in the first and one patient of the second and third series. There was one in-hospital death in series 1 and 2.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0300-5860
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
81
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
656-63
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1492433-Angioplasty, Laser,
pubmed-meshheading:1492433-Coronary Angiography,
pubmed-meshheading:1492433-Coronary Artery Disease,
pubmed-meshheading:1492433-Follow-Up Studies,
pubmed-meshheading:1492433-Humans,
pubmed-meshheading:1492433-Intraoperative Complications,
pubmed-meshheading:1492433-Male,
pubmed-meshheading:1492433-Middle Aged,
pubmed-meshheading:1492433-Postoperative Complications,
pubmed-meshheading:1492433-Recurrence,
pubmed-meshheading:1492433-Reoperation
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pubmed:year |
1992
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pubmed:articleTitle |
[Acute and long-term results of coronary Excimer laser angioplasty].
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pubmed:affiliation |
Medizinische Klinik, Abteilung III, Eberhard-Karls-Universität, Tübingen.
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pubmed:publicationType |
Journal Article,
English Abstract
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