| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Circulation, Vol 72, 1044-1052, Copyright © 1985 by American Heart Association
CE Bredlau, GS Roubin, PP Leimgruber, JS Douglas Jr, SB King 3d and AR Gruentzig
We prospectively recorded all in-hospital complications of the first 3500
consecutive patients to undergo elective coronary angioplasty (PTCA) at
Emory University Hospitals from July 14, 1980, to August 28, 1984, by three
operators. PTCA was attempted in a total of 3933 lesions, with a primary
success rate of 91%. Multiple-lesion PTCA was performed in 401 patients,
and PTCA of saphenous vein grafts was attempted in 172. No complications
were recorded in 3116 (89%) cases, isolated minor complications occurred in
241 (6.9%), and major complications (emergency surgery, myocardial
infarction, death) were observed in 145 (4.1%). Emergency coronary artery
bypass graft surgery (CABG) was performed in 96 patients (2.7%), with a
myocardial infarction rate of 49% (47/96), a Q wave infarction rate of 23%
(22/96), and an emergency surgery mortality rate of 2% (2/96). Hospital
discharge occurred within 2 weeks of attempted PTCA in 91% (87/96) of
patients undergoing emergency CABG. The overall myocardial infarction rate
was 2.6% (94/3500). There were two nonsurgical deaths, giving a total
mortality rate of 0.1% (4/3500). Univariate and multivariate analysis of
3099 patients undergoing single-lesion PTCA identified five preprocedure
predictors of a major complication: multivessel coronary disease, lesion
eccentricity, presence of calcium in the lesion, female gender, and lesion
length. Unstable angina, duration of angina, lesion severity, previous
CABG, and vein graft dilatation were not associated with an increased
incidence of major complications. The strongest predictor of a major
complication was the procedural appearance of an intimal dissection.
Intimal dissection was evident in 894/3099 (29%) patients.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
In-hospital morbidity and mortality in patients undergoing elective coronary angioplasty
This article has been cited by other articles:
 |
|
 |
|
  S. Dukkipati, W. W. O'Neill, K. J. Harjai, W. P. Sanders, D. Deo, J. A. Boura, B. A. Bartholomew, M. W. Yerkey, H. M. Sadeghi, and J. K. Kahn Characteristics of cerebrovascular accidents after percutaneous coronary interventions J. Am. Coll. Cardiol., April 7, 2004; 43(7): 1161 - 1167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Qureshi, R. D. Safian, C. L. Grines, J. A. Goldstein, D. C. Westveer, S. Glazier, M. Balasubramanian, and W. W. O'Neill Simplified scoring system for predicting mortality after percutaneous coronary intervention J. Am. Coll. Cardiol., December 3, 2003; 42(11): 1890 - 1895. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Edgerton, D. O. Moore, D. Nichols, B.W. Lane, M. J. Magee, T. M. Dewey, and M. J. Mack Obliteration of femoral artery pseudoaneurysm by thrombin injection Ann. Thorac. Surg., October 1, 2002; 74(4): S1413 - 1415. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Munoz, J. R. Blanco, M. Rodriguez-Creixems, E. Garcia, J. L. Delcan, and E. Bouza Bloodstream Infections After Invasive Nonsurgical Cardiologic Procedures Arch Intern Med, September 24, 2001; 161(17): 2110 - 2115. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Z. Segal, W. B. Abernethy, I. F. Palacios, R. BeLue, and G. Rordorf Stroke as a complication of cardiac catheterization: Risk factors and clinical features Neurology, April 10, 2001; 56(7): 975 - 977. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A J de Belder, D E Jewitt, R J Wainwright, and M R Thomas Development and validation of a Bayesian index for predicting major adverse cardiac events with percutaneous transluminal coronary angioplasty Heart, January 1, 2001; 85(1): 69 - 72. [Abstract] [Full Text]
|
|
|
|
 |
|
 D. Katz, D. Payne, and S. Pauker Early Surgery versus Conservative Management of Dissecting Aneurysms of the Descending Thoracic Aorta Med Decis Making, October 1, 2000; 20(4): 377 - 390. [Abstract] [PDF]
|
|
|
|
|
|
P. D. McGrath, D. J. Malenka, D. E. Wennberg, S. J. Shubrooks Jr., W. A. Bradley, J. F. Robb, M. A. Kellett Jr., T. J. Ryan Jr., M. J. Hearne, B. Hettleman, et al. Changing outcomes in percutaneous coronary interventions: A study of 34,752 procedures in Northern New England, 1990 to 1997 J. Am. Coll. Cardiol., September 1, 1999; 34(3): 674 - 680. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Bouchart, A. Dubar, J. P. Bessou, M. Redonnet, J. Berland, D. Mouton-Schleifer, C. Haas-Hubscher, and R. Soyer Pseudomonas aeruginosa Coronary Stent Infection Ann. Thorac. Surg., December 1, 1997; 64(6): 1810 - 1813. [Abstract] [Full Text]
|
|
|
|
 |
|
 M. A. Sloan, T. R. Price, M. L. Terrin, S. Forman, J. M. Gore, B. R. Chaitman, M. Hodges, H. Mueller, W. J. Rogers, G. L. Knatterud, et al. Ischemic Cerebral Infarction After rt-PA and Heparin Therapy for Acute Myocardial Infarction : The TIMI-II Pilot and Randomized Clinical Trial Combined Experience Stroke, June 1, 1997; 28(6): 1107 - 1114. [Abstract] [Full Text]
|
|
|
|
 |
|
 M. J. Vonesh, L. F. Mockros, C. J. Davidson, K. B. Chandran, and D. D. McPherson In Vitro Identification of Angioplasty-Induced Injury by Use of Vascular Acoustic Emissions Circulation, February 18, 1997; 95(4): 1022 - 1029. [Abstract] [Full Text]
|
|
|
|
 |
|
 K. Ovunc, M. Kabukcu, S. Aksoyek, G. Kabakci, K. Aytemir, L. Tokgozoglu, F. Ozmen, M. Ali Oto, and K. Ovunc Is There Any Association Between Dissection After Successful Percutaneous Transluminal Coronary Angioplasty and Late Restenosis? An Angiographic Study Angiology, February 1, 1997; 48(2): 111 - 116. [Abstract] [PDF]
|
|
|
|
|
|
D. O. Williams, E. Braunwald, B. Thompson, B. L. Sharaf, C. E. Buller, and G. L. Knatterud Results of Percutaneous Transluminal Coronary Angioplasty in Unstable Angina and Non–Q-Wave Myocardial Infarction: Observations from the TIMI IIIB Trial Circulation, December 1, 1996; 94(11): 2749 - 2755. [Abstract] [Full Text]
|
|
|
|
|
|
S. B. King III Angioplasty From Bench to Bedside to Bench Circulation, May 1, 1996; 93(9): 1621 - 1629. [Full Text]
|
|
|
|
|
|
C. J. White, S. R. Ramee, T. J. Collins, A. E. Escobar, A. Karsan, D. Shaw, S. P. Jain, T. A. Bass, R. R. Heuser, P. S. Teirstein, et al. Coronary Thrombi Increase PTCA Risk : Angioscopy as a Clinical Tool Circulation, January 15, 1996; 93(2): 253 - 258. [Abstract] [Full Text]
|
|
|
|
|
|
M. P. Savage, S. Goldberg, A. A. Bove, E. Deutsch, G. Vetrovec, R. G. Macdonald, T. Bass, J. R. Margolis, H. B. Whitworth, A. Taussig, et al. Effect of Thromboxane A2 Blockade on Clinical Outcome and Restenosis After Successful Coronary Angioplasty : Multi-Hospital Eastern Atlantic Restenosis Trial (M-HEART II) Circulation, December 1, 1995; 92(11): 3194 - 3200. [Abstract] [Full Text]
|
|
|
|
|
|
M. J. Boylan, B. W. Lytle, P. C. Taylor, F. D. Loop, W. Proudfit, J. A. Borsh, and D. M. Cosgrove III Have PTCA Failures Requiring Emergent Bypass Operation Changed? Ann. Thorac. Surg., February 1, 1995; 59(2): 283 - 286. [Abstract] [Full Text]
|
|
|
|
|
|
D. Hausmann, R. Erbel, M.-J. Alibelli-Chemarin, W. Boksch, E. Caracciolo, J. M. Cohn, S. C. Culp, W. G. Daniel, I. De Scheerder, C. DiMario, et al. The Safety of Intracoronary Ultrasound : A Multicenter Survey of 2207 Examinations Circulation, February 1, 1995; 91(3): 623 - 630. [Abstract] [Full Text]
|
|
|
|
 |
|
 C. Landau, R. A. Lange, and L. D. Hillis Percutaneous Transluminal Coronary Angioplasty N. Engl. J. Med., April 7, 1994; 330(14): 981 - 993. [Full Text]
|
|
|
|
 |
|
 E. B. Diethrich, E. Timbadia, I. Bahadir, S. Carroll, S. Zenzen, and K. Coburn Intraoperative Coronary Laser Recanalization: Evaluation of Safety in Ten Patients Vascular and Endovascular Surgery, September 1, 1988; 22(5): 335 - 343. [Abstract] [PDF]
|
|
|
|
|
|
C. C. Simpfendorfer, A. P. Dimas, A. Zaidi, J. Hollman, I. Franco, V. Knezinek, and R. E. Hobbs Balloon Rupture During Coronary Angioplasty Angiology, November 1, 1986; 37(11): 828 - 831. [Abstract] [PDF]
|
|