Late recanalization at the site of failed percutaneous transluminal coronary angioplasty
- 1 January 1985
- journal article
- case report
- Published by Wiley in Catheterization and Cardiovascular Diagnosis
- Vol. 11 (6), 615-621
- https://doi.org/10.1002/ccd.1810110611
Abstract
Percutaneous transluminal coronary angioplasty (PTCA) was performed unsuccessfully, resulting in disruption and near‐total closure of the proximal right coronary artery at the site of stenosis following balloon inflation. The artery could not be reopened in the catheterization laboratory despite intracoronary nitroglycerin, sublingual nifedipine, and multiple balloon inflations. Myocardial revascularization surgery was immediately performed with excellent graft flow. No apparent myocardial infarction resulted. Catheterization performed at one year showed normal left ventriculography, total occlusion of the bypass graft, and reopening and normalization of the right coronary artery at the site of PTCA‐induced occlusion. Possible mechanisms for this phenomenon and its clinical implications are discussed.Keywords
This publication has 20 references indexed in Scilit:
- Early and late morphologic changes in major epicardial coronary arteries after percutaneous transluminal coronary angioplastyThe American Journal of Cardiology, 1984
- Long-term efficacy of percutaneous transluminal coronary angioplasty (PTCA): Report from the national heart, lung, and blood institute PTCA registryThe American Journal of Cardiology, 1984
- Emergency coronary bypass surgery after coronary angioplasty: the national heart, lung, and blood institute's percutaneous transluminal coronary angioplasty registry experienceThe American Journal of Cardiology, 1984
- Mechanism of transluminal angioplastyThe American Journal of Cardiology, 1984
- Acute coronary events associated with percutaneous transluminal coronary angioplastyThe American Journal of Cardiology, 1984
- Comparison of coronary artery bypass surgery and percutaneous transluminal coronary angioplasty including surgery for failed angioplastyAmerican Heart Journal, 1984
- Coronary Spasm Producing Coronary Thrombosis and Myocardial InfarctionNew England Journal of Medicine, 1983
- Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA Registry.Circulation, 1983
- Morphology after Transluminal Angioplasty in Human BeingsNew England Journal of Medicine, 1981
- Nonoperative Dilatation of Coronary-Artery StenosisNew England Journal of Medicine, 1979