AIMS To study the impact of smoking on the change in exercise capacity in patients treated with coronary angioplasty. METHODS Three hundred and sixty-eight men below 70 years of age eligible for percutaneous transluminal coronary angioplasty without previous coronary interventions were consecutively enrolled. Of the 334 patients (90.8%) who completed the study 77 (23.1%) were current smokers....

Particles released in the coronary arteries or a carotid artery during interventions such as percutaneous transluminal coronary angioplasty (ptca) can cause complications such as occlusions of small vessels or capillaries, leading to micro embolisations and increasing the risk of the no-reflow phenomenon. The aim is to develop and implement simulated use testing methods and to analyse mechanism...

OBJECTIVES We sought to compare 10-year clinical outcomes in the BARI (Bypass Angioplasty Revascularization Investigation) trial patients who were randomly assigned to percutaneous transluminal coronary balloon angioplasty (PTCA) versus coronary artery bypass grafting (CABG). BACKGROUND Angioplasty and bypass surgery have been compared in numerous studies, but long-term clinical outcomes are ...

Cardiac rehabilitation improves functional status and quality of life after a myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA). It is currently the recommendation of the National Heart Foundation that all such patients be referred for rehabilitation. Previous pilot data indicate that overall only 22% of patients participat...

BACKGROUND Accelerated allograft atherosclerosis is the main cause of death of cardiac transplant recipients after the first year after transplantation. Because no medical therapy is known to prevent or retard graft atherosclerosis and transplantation is associated with a shortened allograft survival, alternative, palliative therapy with percutaneous transluminal coronary angioplasty (PTCA) has...

Percutaneous transluminal coronary angioplasty (PTCA) has become one of the most common medical interventions of industrialised countries since its introduction into clinical medicine in 1977. Although its impact on longevity is minor, it has a strongly beneficial influence on quality of life. Overall, it is a complement to coronary artery bypass surgery and medical treatment but in some areas ...

A 20 year old man with severe chest pain was hospitalised for acute myocardial infarction. Coronary angiography revealed total obstruction of his right coronary artery, which was successfully recanalised by direct percutaneous transluminal coronary angioplasty (PTCA). There was also diffuse thrombi in the left coronary artery that was not recanalised by perfusion with 3000 U pro-urokinase. Anti...

coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, q-wave myocardial infarction, and emergency coronary bypass surgery. management is different but requires prompt recognition and treatment. we describe a case of coronary perforation only after guidewire removal and also review the ...

OBJECTIVES The percutaneous coronary artery angioplasty is routinely being used worldwide for the management of short and discrete coronary artery stenosis. The purpose of this report is to address the potentially lethal complication among the variety of surgical problems in conjunction with this procedure. The case also illustrates the potential pitfalls in the management of CAD. METHODS A 6...

OBJECTIVE Diabetes mellitus is associated with high rates of restenosis and adverse outcomes after percutaneous transluminal coronary angioplasty (PTCA). It is unclear whether coronary stenting reduces adverse events in diabetic patients after PTCA. Our purpose was to determine whether coronary stenting improves clinical event rates in diabetic patients after PTCA. METHODS The Routine Versus ...