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Chirurgischer Bereitschaftsdienst bei koronarer Angioplastie

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Interventionen am Herzen

Zusammenfassung

Als A. Grüntzig im Jahre 1977 in Zürich die ersten Koronarangioplastien mittels doppellumigem Ballon durchführte, stand A. Senning mit seinem Team in Bereitschaft, um bei einer Komplikation durch sofortige Bypassoperation die Herzmuskeldurchblutung wiederherzustellen. Dieser chirurgische „Standby”wurde erstmals beim 7. Patienten Grüntzigs konsumiert, da das Resultat unbefriedigend war, und von den 50 ersten Patienten hatten 7 (= 14%) eine solche Notfalloperation [12]. Die Idee, daß bei jeder perkutanen transluminalen koronaren Angioplastie (PTCA) ein chirurgischer Standby nötig sei, ist seit dieser ersten Serie während ungefähr einem Jahrzehnt von allen Zentren, die nicht chirurgische Myokardrevaskularisation betreiben, — wenn auch in unterschiedlichem Maße — beachtet worden.

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Rutishauser, W., Meier, B. (1995). Chirurgischer Bereitschaftsdienst bei koronarer Angioplastie. In: Unger, F., Mörl, H., Dieterich, H.A. (eds) Interventionen am Herzen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93558-9_8

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  • DOI: https://doi.org/10.1007/978-3-642-93558-9_8

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