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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1996-6-5
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pubmed:abstractText |
Experimental studies and studies in human beings have indicated that cyclic flow variation (CFV) is a reliable marker of the formation of platelet aggregates and thus may be predictive of immediate complications after coronary angioplasty. In this study, the incidence and clinical relevance of CFV in a large patient population after elective percutaneous transluminal coronary angioplasty (PTCA) was assessed. One hundred two patients with one-vessel disease and no previous Q-wave myocardial infarction underwent angiographically successful PTCA of a single lesion of a major coronary artery. A Doppler guide wire inserted distal to the stenosis was used to monitor flow velocity continuously after PTCA for 15 minutes. In 94 (92%) of 102 patients, a stable and reliable Doppler signal could be recorded for 15 minutes after the procedure. CFV, defined as gradual decline in flow over several minutes followed by a sudden restoration to higher values, was observed in 4 patients. In 3 of these 4 patients, the occurrence of CFV was predictive of immediate complications (2 intracoronary thrombosis and 1 acute closure), whereas none of the patients without CFV (n = 90) showed acute closure during hospital stay. In conclusion, CFVs in patients after angiographically successful elective PTCA are rare (4.3%) but highly sensitive for the prediction of abrupt occlusion.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0002-8703
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
131
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
843-8
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8615299-Aged,
pubmed-meshheading:8615299-Angina, Unstable,
pubmed-meshheading:8615299-Angina Pectoris,
pubmed-meshheading:8615299-Angioplasty, Balloon, Coronary,
pubmed-meshheading:8615299-Blood Flow Velocity,
pubmed-meshheading:8615299-Cineangiography,
pubmed-meshheading:8615299-Coronary Angiography,
pubmed-meshheading:8615299-Coronary Disease,
pubmed-meshheading:8615299-Humans,
pubmed-meshheading:8615299-Male,
pubmed-meshheading:8615299-Middle Aged,
pubmed-meshheading:8615299-Postoperative Complications,
pubmed-meshheading:8615299-Prognosis
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pubmed:year |
1996
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pubmed:articleTitle |
Cyclic flow variations after angioplasty: a rare phenomenon predictive of immediate complications. DEBATE Investigator's Group.
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pubmed:affiliation |
Thoraxcenter, Erasmus University, Rotterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Case Reports
|