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High-Frequency Rotational Angioplasty

  • Conference paper
Complications in PTCA

Abstract

In 19 patients with significant coronary artery disease, PTCR was used instead of PTCA. The PTCR was successful in all patients, but in nine patients additional PTCA was successfully performed. Coronary luminal narrowing could be reduced from 78 ± 19% to 32 ± 14% after rotablation and by combined treatment to 21 ± 14%. Only in one patient did coronary dissection occur; the patient was sent to surgery and had an uneventful outcome. No vessel perforation was observed. In one patient peripheral diagonal branch occlusion occurred. All vessels were open according to 24-control coronary angiography. Restenosis (>70% stenosis) occurred in 4/15 patients controlled after 6 months, mainly in those with vessel occlusion (3/4).

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References

  1. Abela GS, Norman SK, Cohen DM, Franzini D, Feldman RL, Crea F, Fenech A, Pepine CJ, Conti CR (1985) Laser recanalization of occluded artherosclerotic arteries in vivo and in vitro. Circulation 71: 403

    Article  PubMed  CAS  Google Scholar 

  2. Ahn SS, Auth D, Marcus DR, Moore WS (1988) Removal of focal atheromatous lesions by angioscopically guided high-speed rotary atherectomy. J Vasc Surg 7: 292

    PubMed  CAS  Google Scholar 

  3. Biamino G, Harnoss BM, Kar H, Dörschel K, Müller G (1988) Experience in excimer laser photoablation of arterio-sclerotic plaques. In: Advances in Laser Medicine I, ecomed, Landsberg 147

    Google Scholar 

  4. Crea F, Davies G, McKenna WJ, Pashazadeh M, Keogh B, Kidner P, Taylor KM, Maseri A (1988) Percutaneous coronary laser recanalisation with metal-capped optical fibres in man. In: Advances in Laser Medicine I, ecomed, Landsberg 227

    Google Scholar 

  5. Cumberland DC, Tayler DI, Welsh CL, Guben JK, Sanborn TA, Moore DJ, Greenfield AJ, Ryan TJ (1986) Results with a laser probe in total peripheral artery occlusions. Lancet 1457

    Google Scholar 

  6. Cumberland DC, Oakley GDG, Smith GH, Tayler DI, Starkey IR, Fleming JS, Goiti JJ, Davis J (1986) Percutaneous laser-assisted coronary angioplasty. Lancet 214

    Google Scholar 

  7. Darius H, Erbel R, Schmucker B, Reusch U, Meyer J (1988) Effets anti-ischémique du SIN-1, métabolite de la mosidomine, au cours de l’angioplastie coronarienne et effets antiplaquettaires chez l’homme. Presse Méd 17: 1033

    PubMed  CAS  Google Scholar 

  8. Dietz U, Erbel R, Haude M, Nixdorff U, Iversen S, Pannen P, Meyer J (1989) Angiographische und histologische Befunde bei der koronaren Hochfrequenz-Rotationsatherektomie in vitro. Z Kardiol 78, Suppl l-104

    Google Scholar 

  9. Düber C, Jungbluth A, Rumpelt HJ, Erbel R, Meyer J, Thoenes W (1986) Morphology of the coronary arteries after combined thrombolysis and percutaneous transluminal coronary angioplasty for acute myocardial infarction. Am J Cardiol 58: 698

    Article  PubMed  Google Scholar 

  10. Erbei R, Diefenbach C, Schriber G, Pop T, Vorshausen K, Rupprecht HZ, Aydin A, Meyer J (1986) Retardization of totally occluded coronary vessels by percutaneous trans-luminal coronary angioplasty. In: Höing B (ed) Current problems in PTCA. Steinkopf Darnstadt pp 109

    Chapter  Google Scholar 

  11. Erbel R, O’Neill W, Auth D, Haude M, Nixdorff U, Rupprecht HJ, Dietz U, Meyer J (1989) High-frequency rotablation of occluded coronary artery during heart catheterization. Cath Cardiovasc Diagn 17: 56

    Article  CAS  Google Scholar 

  12. Erbei R, O’Neill W, Auth D, Haude M, Nixdorff U, Dietz U, Rupprecht HJ, Tschollar W, Meyer J (1989) Hochfrequenz-Rotationsatherektomie bei koronarer Herzkrankheit. Dtsch Med Wochenschr 114: 487

    Article  Google Scholar 

  13. Fourrier JL, Auth D, Lablanche JM, Brunetaud JM, Gommeaux A, Bertrand ME (1988) First percutaneous coronary rotational atherectomies in man. Eur Heart J 9, Suppl 1: 336

    Google Scholar 

  14. Hansen DD, Auth DC, Vracko R, Ritchie JL (1988) Rotational atherectomy in atherosclerotic rabbit iliac arteries. Am Heart J 115: 160

    Article  PubMed  CAS  Google Scholar 

  15. Heintzen MP, Neubaur T, Klepzig M, Richter EI, Zeitler E, Strauer BE (1988) Clinical Experiences in Nd: YAG laser angioplasty in the periphery. In: Advances in Laser Medicine I, ecomed, Landsberg 103

    Google Scholar 

  16. Höher M, Hombach V, Höpp HW, Eggeling T, Kochs M, Hilger HH (1988) Intrakoronare Hochfrequenzangioplastie: erste klinische Erfahrungen. Z Kardiol 77, Suppl 1: 28

    Google Scholar 

  17. Hombach V, Höher M, Arnold G, Osypka P, Kochs M, Eggeling T, Höpp Hw, Hirche H, Hilger HH (1987) Die Hochfrequenzangioplastie — eine neue Methode zur Rekanalisation verschlossener arterieller Gefäße. CorVas 2: 67

    Google Scholar 

  18. Jungbluth A, Dither C, Rumpelt HJ, Erbel R, Meyer J (1988) Koronararterienmorphologie nach perkutaner transluminaler Koronarangioplastie ( PTCA) mit Hämoperikard. Z Kardiol 77: 125

    Google Scholar 

  19. Kaltenbach M, Kober G, Scherer D (1980) Mechanische Dilatation von Koronararterienstenosen ( Transluminale Angioplastie ). Z Kardiol 69: 1

    Google Scholar 

  20. Keogh BE, Crea F, Pashazadeh M, Blackie RAS, Taylor KM (1988) Metal-capped optical fibres: is blood embolization a problem? In: Advances in Laser Medicine I, ecomed, Landsberg 236

    Google Scholar 

  21. Kober G, Hopf R, Reinemer H, Kaltenbach M (1985) Langzeitergebnisse der transluminalen koronaren Angioplastie von chronischen Herzkranzverschlüssen. Z Kardiol 74: 309

    PubMed  CAS  Google Scholar 

  22. Leyser LJ, Bundy MA, Abreo F, Hanley HG, Fadely D, Walker JM (1986) Evaluation of coronary lysing system: results of a preclinical safety and efficacy study. Cath Cardiovasc Diag 12: 246

    Article  CAS  Google Scholar 

  23. Matthews BJ, Ewels CJ, Kent KM (1988) Coronary dissection: a predictor of restenosis? Am Heart J 115: 547

    Article  PubMed  CAS  Google Scholar 

  24. McDonald RG, Panusch RS, Pepine CJ (1987) Rationale for use of glucocorticoids in modification of restenosis after percutaneous transluminal coronary angioplasty. Am J Cardiol 60: 56B

    Google Scholar 

  25. Kensey KR, Nash JE, Abrahams C, Zarins CK (1987) Recanalization of obstructed arteries with a flexible, rotating tip catheter. Radiology 165: 387

    PubMed  CAS  Google Scholar 

  26. Meyer J, Schmitz H, Erbel R, Kiesslich T, Bäcker-Josephs B, Krebs W, Braun PL, Bardos S, Minale C, Messmer BJ, Effert S (1981) Treatment of unstable angina pectoris with percutaneous transluminal coronary angioplasty. Cath Cardiovasc Diagn 7: 361

    Article  CAS  Google Scholar 

  27. Meyer J, Erbei R, Pop T, Rupprecht HJ (1987) Derzeitiger Stand der intrakoronaren Ballondilatation. Internist 28: 736

    PubMed  CAS  Google Scholar 

  28. Ritchie JL, Hansen DD, Intlekofer MJ, Hall M, Auth CD (1987) Rotational approaches to atherectomy and thrombectomy. Z Kardiol 76: 59

    PubMed  Google Scholar 

  29. Rupprecht HJ, Erbei R, Brennecke R, Pop T, Jung D, Kottmeyer M, Hering R, Meyer J (1988) Aktuelle Komplikationsrate der perkutanen transluminalen Koronarangioplastie bei stabiler und unstabiler Angina. Dtsch med Wschr 113: 409

    Article  PubMed  CAS  Google Scholar 

  30. Schwartz L, Bourassa MG, Lespérance J, Aldridge HE, Kazin F, Salvatori VA, Henderson M, Bonan R, David PR (1988) Aspirin and dipyradimole in the prevention of restenosis after percutaneous transluminal coronary angioplasty. New Engl J Med 318: 1714

    Article  PubMed  CAS  Google Scholar 

  31. Serruys PW, Umans V, Heyndrickx GR, v.d. Brand M, De Feyter PJ, Wijns W, Jaski B, Hugenholtz PG (1985) Elective PTCA of totally occluded coronary arteries not associated with acute myocardial infarction; short-term and long-term results. Eur Heart J 6: 2

    PubMed  CAS  Google Scholar 

  32. Shiu MF, Silverton NP, Oakley D, Cumberland D (1985) Acute coronary occlusion during per-cutaneous transluminal coronary angioplasty. Br Heart J 54: 129

    Article  PubMed  CAS  Google Scholar 

  33. Simpson JB, Selmon MR, Robertson GC, Cipriano PR, Hayden WG, Johnson DE, Fogarty TJ (1988) Transluminal atherectomy for occlusive peripheral vascular disease. Am J Cardiol 61: 96G

    Google Scholar 

  34. Slager CJ, Hugenholtz PG, Bom N, Lancée CT, Schuurbiers JCH, Serruys PW (1988) Spark erosion: an alternative to laser recanalisation. In Advances in Laser Medicine I, ecomed, Landsberg 244

    Google Scholar 

  35. Steffenino G, Meier B, Finci L, Velebit V, von Segesser L, Faidutti B, Rutishauser W (1988) Acute complications of elective coronary angioplasty: a review of 500 consecutive procedures. Br Heart J 59: 151

    Article  PubMed  CAS  Google Scholar 

  36. Vallbracht C, Schweitzer M, Kress J, Bamberg W, Kollath J, Liermann D, Paasch C, Rauber K, Roth FJ, Prignitz J, Beinborn W, Landgraf H, Breddin HK, Schoop W, Kaltenbach M (1988) Rotationsangioplastik — Erste klinische Ergebnisse bei peripheren Gafäßverschlüssen. Z Kardiol 77: 352

    PubMed  CAS  Google Scholar 

  37. Vallbracht C, Krens J, Schweitzer W, Schneider M, Wendt Th, Ziemen M, Kollath J, Bamberg W, Kaltenbach M (1987) Rotationsangioplastik — ein neues Verfahren zur Gefäßeröffnung und -erweiterung. Experimentelle Befunde. Z Kardiol 76: 608

    Google Scholar 

  38. Whitworth HB, Roubin GS, Hollman J, Meier B, Leimgruber PP, Douglas JS, King SB, Gruentzig AR (1986) Effect of nifedipine on recurrent stenosis after percutaneous transluminal coronary angioplasty. J Am Coll Cardiol 8: 1271

    Article  PubMed  CAS  Google Scholar 

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© 1991 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Erbel, R. et al. (1991). High-Frequency Rotational Angioplasty. In: Fleck, E., Frantz, E. (eds) Complications in PTCA. Steinkopff. https://doi.org/10.1007/978-3-642-85394-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-85394-4_7

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-642-85396-8

  • Online ISBN: 978-3-642-85394-4

  • eBook Packages: Springer Book Archive

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