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Transluminal Coronary Angioplasty: Transbrachial Approach and Prevention of Thromboembolic Complications

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Abstract

Starting in October 1977, transluminal coronary angioplasty (TCA) [1] was performed predominantly using the transbrachial approach [2]. This approach was preferred because at the end of the procedure the brachial artery can be closed with sutures. Therefore even with intensive antithrombotic medication no danger of arterial bleeding exists; reversal of heparin effect by administration of protamine sulfate is not necessary. Prophylaxis of thromboembolic complications was considered essential because after creating a “controlled intimai injury” of a coronary artery the tendency to thrombotic reocclusion must be considered as critical.

This study was supported by the Bundesministerium für Forschung und Technologie with grant NT/A - MT 0316 – 01 ZJ 0496.

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References

  1. Grüntzig A (1978) Transluminal dilatation of coronary artery stenosis. Lancet 1:263

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© 1982 Springer-Verlag Berlin Heidelberg

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Kaltenbach, M., Kober, G., Scherer, D. (1982). Transluminal Coronary Angioplasty: Transbrachial Approach and Prevention of Thromboembolic Complications. In: Kaltenbach, M., Grüntzig, A.R., Rentrop, K.P., Bussmann, WD. (eds) Transluminal Coronary Angioplasty and Intracoronary Thrombolysis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68358-9_5

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  • DOI: https://doi.org/10.1007/978-3-642-68358-9_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-68360-2

  • Online ISBN: 978-3-642-68358-9

  • eBook Packages: Springer Book Archive

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