BACKGROUND Coronary vasomotion was evaluated at rest and during bicycle exercise in 33 patients (age, 53 +/- 7 years) with coronary artery disease. In a first group of patients (n = 15), vasomotion was studied before and 4.3 +/- 2.3 months (early) after percutaneous transluminal coronary angioplasty (PTCA), whereas in a second group (n = 18), exercise coronary arteriography was performed 30 +/-...

A study was undertaken to evaluate the significance of elevated troponin-T after perculaneous transluminal coronary angioplasty (PTCA) in 52 patienrs. After PTCA, 35 palients (67.3%ù showed elevated TnT. Except in one patient who developed heartfailure, the other patients-had uneventful clinical course. l[/e conclude that PTCA might induce minor myocardial injury, which is no! associated with i...

BACKGROUND Contemporary outcomes of percutaneous transluminal angioplasty for the treatment of infrapopliteal atherosclerotic lesions are not well characterized. Hence, a systematic review and meta-analysis was performed to determine the safety and effectiveness of this approach in patients with advanced below-the-knee arterial disease. METHODS AND RESULTS MEDLINE and EMBASE databases were se...

In the 1970s and early 1980s, randomized trials comparing coronary bypass surgery with medical therapy emphasized the indications for coronary revascularization. In these trials and database studies, the major benefit of surgery over medical therapy upon survival was among 'sicker' patients, characterized by the severity of ischaemia, the extent of coronary disease and the presence of left vent...

This report is of a 63-year-old man with polycythemia vera who developed the Budd-Chiari syndrome due to right hepatic vein stenosis. Diagnosis was made by laparoscopy and liver biopsy, and confirmed by hepatic venography. The patient was treated by percutaneous transluminal angioplasty, and recovered completely from ascites, leg oedema and venous stasis. No pulmonary embolism was observed. One...

Coronary diseases/surgery; myocardial revascularization; surgical procedures minimally invasive. Coronary artery bypass grafting (CABG) is the gold standard for the definitive treatment of coronary disease. With the advent of percutaneous transluminal angioplasty, cardiac surgery fell behind, especially for the treatment of oneand two-vessel coronary artery disease, which made surgeons leave th...

The most quoted long-term outcome studies from the coronary artery bypass surgery literature were performed in the 1970s, and these trials--the Coronary Artery Surgery Study, the Veterans Administration Study, and the European Cooperative Study--added significantly to our knowledge of the efficacy of bypass surgery. However, important studies are still being performed and are refining our knowl...

A 19 year old pregnant woman presented to the coronary care unit with an acute anterior myocardial infarction. She was treated with primary percutaneous transluminal coronary angioplasty of the proximal left anterior descending coronary artery. Ultrasound examination showed patent foramen ovale (PFO) and atrial septal aneurysm. The patient was a heterozygote carrier of factor V Leiden. Despite ...

Where information about the appropriateness of a surgical procedure is lacking, expert panels have been used to establish guidelines for medical practitioners. Such a panel was convened to assess the appropriateness of percutaneous transluminal coronary angioplasty and coronary artery bypass graft surgery in the Netherlands. The panel, consisting of interventional cardiologists and cardiothorac...