Abstract
There is gratification in performing a high-risk intervention in a patient wary of general anesthesia, surgery, and a prolonged recovery (Figure 1-1). Unfortunately, this can be easily offset when an unexpected complication occurs during a seemingly straightforward intervention, necessitating additional and unplanned interventions to avert disaster (Figure 1–2). This is the reality of day-to-day percutaneous coronary interventions performed, on average, in 25% of patients undergoing diagnostic coronary angiography.
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Millennium Research Group. US, European, and Japan markets for interventional cardiology. 2002–2003.
Personal communication, Guidant Corporation, 2004.
Schofer J, Schuter M, Gershlick AH, et al. Sirolimus-eluting stents for treatment of patients with long atherosclerotic lesions in small coronary arteries: double-blind, randomized controlled trial (E-SIRIUS). Lancet. 2003;362:1093–1099.
Morice M-C. A randomized comparison of a sirolimuseluting stent with a standard stent for coronary revascularization. N Engl J Med. 2002;346:1773–1780.
Hong MK, Popma JJ, Bairn DS, et al. Frequency and predictors of major in-hospital ischemic complications after planned and unplanned new-device angioplasty from the New Approaches to Coronary Intervention (NACI) registry. Am J Cardiol. 1997;80:40K–49K.
Altmann DB, Racz M, Battleman DS, et al. Reduction in angioplasty complications after the introduction of coronary stents: results from a consecutive series of 2242 patients. Am Heart J. 1996;132:503–507.
Ali A, Hashem M, Rosman HS, et al. Use of glycoprotein IIb/IIIa inhibitors and spontaneous pulmonary hemorrhage. J Invasive Cardiol. 2003;15:186–188.
Goldstein JA, Casserly IP, Katsiyiannis WT, et al. Aorto-coronary dissection complicating a percutaneous coronary intervention. J Invasive Cardiol. 2003;15:89–92.
Ross, MJ, Herrmann HC, Moliterno DJ, et al. Angiographic variables predict increased risk for adverse ischemic events after coronary stenting with glycoprotein IIb/IIIa inhibition. J Am Coll Cardiol. 2003;42:981–988.
Singh M, Rihal CS, Selzer F, et al. Validation of a Mayo Clinic risk adjustment model for in-house complications after percutaneous coronary interventions, using the National Heart, Lung, and Blood Institute dynamic registry. J Am Coll Cardiol. 2003;42:1722–1728.
De Feyter PJ, McFadden E. Risk score for percutaneous coronary intervention: is forewarned forearmed? J Am Coll Cardiol. 2003;42:1729–1730.
Witzke CF, Matin-Herrero F, Clarke SC, Pomerantzev E, Palacios IF. The changing pattern of coronary perforation in the new device era. J Invasive Cardiol. 2004;16:297–301.
Kandzari DE. The challenge of chronic total occlusions: an old problem in a new perspective. J Interv Cardiol. 2004;17:259.
Kar B, Butkevich A, Civitello AB, et al. Hemodynamic support with a percutaneous left ventricular assist device during stenting of an unprotected left main coronary artery. Tex Heart Inst J. 2004;31:84–86.
Alexander KP, Harding T, Coombs L, Peterson E. Are patients properly informed prior to revascularization decisions [abstract]? J Am Coll Cardiol. 2003;41(suppl A):535A.
Stankovic G, Orlic D, Corvaja N, et al. Incidence, predictors, in-hospital, and late outcomes of coronary artery perforations. Am J Cardiol. 2004;93:213–216.
Wiley JM, White CJ, Uretsky BF. Noncoronary complications of coronary intervention. Cathet Cardiovasc Diag. 2002:57:257–265.
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Butman, S.M. (2005). Introduction. In: Butman, S.M. (eds) Complications of Percutaneous Coronary Interventions. Springer, New York, NY. https://doi.org/10.1007/978-0-387-29301-1_1
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DOI: https://doi.org/10.1007/978-0-387-29301-1_1
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