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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1993-3-23
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pubmed:abstractText |
342 consecutive patients with recurrent angina pectoris were investigated 4.9 +/- 2.9 years after bypass surgery. According to the respective coronary morphology, angioplasty (PTCA) was performed in 110 patients (32%), repeat surgery in 32 (9%) and 200 patients (58%) were treated medically. Angioplasty was undertaken in 113 native coronary arteries (18 via a patent venous graft) and 29 bypass grafts. One vessel was dilated in 84 patients (76%) and more than one vessel in 26 patients (24%), giving an average of 1.3 vessels per patient. The initial success rate was 84% (120 of 142 vessels). The success rate varied from 60% in the midportion of venous grafts to 100% in the bypass protected left main stem. One patient died from complications (0.9%) and 5 patients (4.5%) suffered a myocardial infarction. Revascularisation was complete in 64 patients (58%) and remained incomplete in 40 patients. Clinical state improved in all but 7 patients and 70 patients (64%) became symptom-free. After 6 months 88 patients were clinically reevaluated. 52 patients (59%) still showed improvement in anginal status or remained symptom-free. Due to recurrent symptoms a re-angioplasty was performed on 21 patients and 6 patients had to be reoperated. In conclusion, coronary angioplasty is frequently a feasible alternative to reoperation with calculable risks in patients with recurrence of symptoms after prior bypass surgery.
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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:issn |
0043-5325
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
105
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
17-20
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8438595-Adult,
pubmed-meshheading:8438595-Aged,
pubmed-meshheading:8438595-Angioplasty, Balloon, Coronary,
pubmed-meshheading:8438595-Coronary Artery Bypass,
pubmed-meshheading:8438595-Coronary Disease,
pubmed-meshheading:8438595-Exercise Test,
pubmed-meshheading:8438595-Female,
pubmed-meshheading:8438595-Follow-Up Studies,
pubmed-meshheading:8438595-Graft Occlusion, Vascular,
pubmed-meshheading:8438595-Hemodynamics,
pubmed-meshheading:8438595-Humans,
pubmed-meshheading:8438595-Male,
pubmed-meshheading:8438595-Middle Aged,
pubmed-meshheading:8438595-Postoperative Complications,
pubmed-meshheading:8438595-Recurrence
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pubmed:year |
1993
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pubmed:articleTitle |
[Importance of coronary dilatation in patients after bypass operation].
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pubmed:affiliation |
I. Medizinische Abteilung, Allgemeines Krankenhaus, Linz.
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pubmed:publicationType |
Journal Article,
English Abstract
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