OBJECTIVE This study sought to compare two strategies of revascularization in patients obtaining a good immediate angiographic result after percutaneous transluminal coronary angioplasty (PTCA): elective stenting versus optimal PTCA. A good immediate angiographic result with provisional stenting was considered to occur only if early loss in minimal luminal diameter (MLD) was documented at 30 mi...

OBJECTIVES We sought to compare outcomes between patients with acute myocardial infarction (AMI) undergoing percutaneous transluminal coronary angioplasty (PTCA) with an optimal or "stent-like" result versus patients who underwent routine stent placement. BACKGROUND Recent studies in patients with AMI undergoing stent implantation have suggested that PTCA may no longer be a relevant treatment...

The combination of diagnostic coronary angiography and coronary angioplasty (PTCA) has numerous names. It has been referred to as ad hoc, follow-on, one-time, one-stage, single-stage, single session, diagnostic session, stop and go, or dessert PTCA. "PTCA at first sight" is the term coined for PTCA performed after the first diagnostic coronary angiogram.1 I propose to use the term "ad hoc PTCA"...

Background: Percutaneous Transluminal Coronary Angioplasty (PTCA) through radial route is known to have a steep learning curve. The impact of this results in hesitation of performing PTCA through radial route by conventional femoral access operators. Objective: This study was designed to evaluate the difficulties and problems related to learning of radial PTCA by a team trained with PTCA by fe...

BACKGROUND Despite, increasing number of percutaneous transluminal coronary angioplasty (PTCA) being performed, there is a paucity of Indian studies on the psychological effects of PTCA. Aim. To study the relation of anxiety, depression, and health related quality of life with outcome after PTCA. METHODS A total of 35 patients undergoing PTCA were included in the present project with their in...

BACKGROUND Prior comparisons of costs following CABG and PTCA have demonstrated higher initial costs after CABG but following PTCA, recurrent symptoms and repeat revascularization result in increased late costs and over time their costs equilibrate. The MASS II trial provides an opportunity to compare the costs of CABG and PTCA in addition to a strategy of medical therapy. METHODS We studied ...

OBJECTIVES To determine the relative degree of revascularization obtained with bypass surgery versus angioplasty in a randomized trial of patients with multivessel disease requiring revascularization (Bypass Angioplasty Revascularization Investigation [BARI]), one-year catheterization was performed in 15% of patients. BACKGROUND Complete revascularization has been correlated with improved out...

Among the first 83 patients treated with percutaneous transluminal coronary angioplasty (PTCA) at our institution, typical variant angina was recognized beforehand in five cases and was discovered within 4 months of PTCA in six others. All patients had a 65-95% proximal left anterior descending coronary artery stenosis and only one had a coronary lesion greater than 50% in other coronary arteri...

BACKGROUND Coronary angioplasty (PTCA) offers improved symptom control over medical treatment in patients with stable angina and single-vessel disease. However, it is uncertain if PTCA is more cost-effective. Cost-shifting could also influence the provision of PTCA. METHODS Data from the only randomised trial comparing PTCA to medical therapy (ACME study) were used with costs from an Australi...