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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1991-9-25
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pubmed:abstractText |
Percutaneous transluminal coronary angioplasty (PTCA) was performed in 14 patients with significant left main stem stenosis following protective coronary artery bypass grafting (CABG). The procedure was successful in 13/14 patients (93%), achieving a decrease in mean diameter stenosis from 74% +/- 7% to 31% +/- 12% (P less than 0.01). Accordingly, the absolute stenosis diameter increased from 0.9 mm +/- 0.3 mm to 2.4 mm +/- 0.5 mm (P less than 0.01). Dissection of the left main stem artery and a transient significant fall of blood pressure each occurred in one patient. No other serious complications were noted. Eight of 13 patients (62%) with successful PTCA underwent control angiography. Restenosis had occurred in 3 of 8 patients (38%) with total occlusion of the left main stem in 1 patient. All bypass grafts were found to be patent at follow-up. Clinical evaluation in all 14 patients revealed no serious events (death, myocardial infarction, repeat revascularization procedure) during a mean follow-up period of 27 months (range 6-39 months). PTCA of the left main stem following CABG can be considered a relatively safe and effective procedure with a marked restenosis-rate but beyond that, an uncomplicated long-term follow-up.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1010-7940
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
5
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
326-9
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1873040-Adult,
pubmed-meshheading:1873040-Aged,
pubmed-meshheading:1873040-Angioplasty, Balloon, Coronary,
pubmed-meshheading:1873040-Aortic Valve Stenosis,
pubmed-meshheading:1873040-Coronary Artery Bypass,
pubmed-meshheading:1873040-Female,
pubmed-meshheading:1873040-Follow-Up Studies,
pubmed-meshheading:1873040-Humans,
pubmed-meshheading:1873040-Male,
pubmed-meshheading:1873040-Middle Aged,
pubmed-meshheading:1873040-Recurrence
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pubmed:year |
1991
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pubmed:articleTitle |
PTCA of the left main stem following protective coronary artery bypass grafting.
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pubmed:affiliation |
Second Medical Clinic, Johannes Gutenberg University, Mainz, FRG.
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pubmed:publicationType |
Journal Article
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