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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 145))

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Abstract

Percutaneous transluminal coronary balloon angioplasty is now widely used as a treatment for obstructive atherosclerotic coronary disease. Soon after the initial description of the technique, it became apparent that lesions treated by coronary angioplasty often recurred [1, 2]. In our institution, where follow-up angiography at 6 months is recommended to all patients with an initially successful procedure, angiographic restenosis after balloon angioplasty, defined as a recurrent stenosis of more than 50% at the dilated site measured by quantitative coronary angiography, occurs in 42.6% of patients [3]. The other major limitation of balloon angioplasty is related to the inability to obtain a satisfactory primary result at certain types of lesion. While proximally located, concentric, non-calcified stenoses are ideal candidates for balloon dilatation which usually produces an initially satisfactory angiographic result, the immediate results after balloon dilatation of other types of lesion, such as those that are heavily calcified, long, or located distally, are often less satisfactory.

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© 1994 Springer Science+Business Media Dordrecht

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Mcfadden, E.P., Bauters, C., Quandalle, P., Bertrand, M.E., Lablanche, JM. (1994). Rotational atherectomy. In: Serruys, P.W., Foley, D.P., De Feyter, P.J. (eds) Quantitative Coronary Angiography in Clinical Practice. Developments in Cardiovascular Medicine, vol 145. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-8358-9_30

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  • DOI: https://doi.org/10.1007/978-94-015-8358-9_30

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-4295-8

  • Online ISBN: 978-94-015-8358-9

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