Страницы: 1 | 2

• I. PROCEDURE
  
• II. INDICATIONS A. Stable Angina
  Patients with bothersome stable angina who do not achieve sufficient relief with medical therapy are candidates for coronary angioplasty, if they have any of the following:
• III. CONTRAINDICATIONS AND LIMITATIONS
  Below is a list of contraindications and limitations for angioplasty.
• IV. OUTCOME OF ANGIOPLASTY
  Successful reopening of the artery is achieved in greater than 90% of cases, and with better blood flow, angina improves. The majority of patients return to work a few days later and have no recurrence of the angina for at least six months. Early complications are most often the result of abrupt vessel closure, defined as sudden occlusion of the target vessel during or shortly after PCI. This occurs in less than 2% of patients. The pathophysiology involves local vessel dissection with obstructive resection flaps accompanied by thrombus formation. This process usually leads to myocardial infarction and need for bail-out stent or bypass surgery. The recent use of platelet IIb/IIIa receptor blockers and stenting has reduced the incidence of adverse outcomes of acute vessel closure.
• BIBLIOGRAPHY
  Chieffo, A., Stankovic, G., Bonizzoni, E. et al. Early and mid-term results of drug–eluting stent implantation in unprotected left main. Circulation, 111:791-795, 2005.