INDICATION FOR CORONARY ARTERIOGRAPHY IN POSTINFARCTION PATIENTS

Safety of coronary arteriography.

The mortality and morbidity of coronary arteriography are presented with particular reference to the relative safety of the Sones as compared with the Judkins technique. There were 6 deaths in 400 investigations (i *5%), and all occurred with the3Judkins technique. The morbidity is analysedfor the last 250 investigations; cardiac infarction and serious dysrhythmias were more common with the Jud...

Selective coronary arteriography.

The technique of selective coronary arteriography, as described originally by Sones, was employed in 255 patients. Successful catheterization of both coronary arteries was carried out in 88% of these patients, and in the last 100 examinations both coronary arteries were entered in 95 patients. Selective coronary arteriography is a useful diagnostic tool but is a potentially hazardous form of ex...

Technics of coronary arteriography.

Coronary angioplasty for early postinfarction unstable angina.

Coronary angioplasty was performed in 53 patients in whom unstable angina had reoccurred after 48 hr and within 30 days after sustained myocardial infarction. Single-vessel disease was present in 64% of the patients and multivessel disease in 36%. The preceding myocardial infarction had been small to moderate in size in the majority of the patients. The left ventricular ejection fraction was mo...

Indication for percutaneous coronary angioplasty.

Percutaneous transluminal coronary angioplasty (PTCA) or balloon angioplasty, was performed in the United States, but the technique remained challenged by the primary problem of ''re-stenosis'', which was approximately 30% closing of the coronary artery after balloon dilatation. When first PTCA introduced by Gruentzig in 1977, it was specific directed for patients who have angina, documented is...