Abstract
Since Dr, Andreas Gruentzig’s initial description in 1977 of this innovative therapeutic technique, percutaneous transluminal coronary angioplasty (PTCA) has revolutionized the practice of cardiology [1]. Originally envisioned by its creator as a less traumatic alternative to coronary bypass surgery for a select subset of patients with single-vessel disease, PTCA is now considered a mainstream therapy for angina with multivesscl disease, unstable angina, acute myocardial infarction, and post-bypass surgery angina [2].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Gruntzig AR, Senning A, Siegenthaler WF. Nonoperative dilatation of coronary artery stenosis: Percutaneous transluminal coronary angioplasty.N Engl J Med1979; 301:61–68.
Holmes DR, Vlictstra RE, Percutaneous transluminal coronary angioplasty: Current status and future trends.Mayo Clin Proc1986; 61:865–876.
Wohlgelernter I, Clernan M, Highman HA, Fetterman RC, Duncan JS, Zaret BL, Jaffe CC. Regional myocardial dysfunction during coronary angioplasty: Evaluation by two-dimensional echocardiography and 12 lead electrocardiography. JAtn Coll Cordial1986; 7:1245–1254.
Hauser AM, Gangadharan V, Ramos RG, Gordon S, Timrnis GC. Sequence of mechanical, electrocardiographic and clinical effects of repeated coronary artery occlusion in human beings: Echocardiographic observations during coronary angioplasty. J AmColl Cardiol1985; 5:193–197.
Visser CA, David GK, Kan G, Romijn KH, Meiner RS, Koolen JJ, Dunning AJ Two-dimensional echocardiography during percutancous transluminal coronary angioplastyAm Heart)1986; 111:1035–1041.
Alam M, Khaja F, Brymer J, Marzelli M, Goldstein S. Echocardiographic evaluation of left ventricular function during coronary artery angioplasty. Am]Cordial1986; 57:20–25.
Opie LH. Metabolism of the heart in health and disease. Part I.An¡ Heart]1968; 76:685–698.
Serruys PW, Wijns W, van den Brand M, Meij S, Slager C, Schuurbiers JCH, Hugenholtz PG, Brower RW. Left ventricular performance, regional blood flow, wall motion, and lactate metabolism during transluminal angioplasty.Circulation1984; 70:25–36.
Bowman LK, Cleman MW, Cabin HS, Zaret BL, Jaffe CC. Dynamics of early and late left ventricular filling determined by Doppler two-dimensional echocardiography during percutaneous transluminal coronary angioplasty.Am J Cardiol1988; 61:541–545.
Wijns W, Scrruys PW, Slager CJ, Orimm J, Krayenhuehl HP, Hugenholtz PG, Hess OM. Effect of coronary occlusion during percutaneous transluminal angioplasty in humans on left ventricular chamber stiffness and regional diastolic pressure-radius relations. J AmColl Cardin1986; 455–463.
Simon R, Amede I, Lichtlen PR. Coronary blood flow and hemodynamics during prolonged balloon inflation in coronary angioplasty.J Am Coll Cordial1984; 3:507A.
Wohlgelernter I, Jaffe CC, Cabin HS, Yeatman LA, Ciernan M. Silent ischemia during coronary occlusion produced by balloon inflation: Relation to regional myocardial dysfunction.J Am Coll Cordial1987; 10:491–498.
The National Heart, Lung and Blood Institute Registry. Percutaneous transluminal coronary angioplasty in 1985–1986 and 1977–1981.N EnQl J Med 1988;318:265–270.
Doorey AJ, Mehmel HC, Schwarz FX, Kubler W. Amelioration by nitroglycerin of left ventricular ischemia induced by percutaneous transluminal coronary angioplasty: Assessment by hemodynamic variables and left ventriculography. JAet Coll Cardin!1985; 6:267–274.
Feldman RL, MacDonald RG, Hill JA, Limacher MC, Conti CR, Pepine CJ. Effect of propranolol on myocardial ischemia occurring during acute coronary occlusion.Circulation1986; 73:727–733.
Zalewski A, Goldberg S, Dervan JP, Slysh S, Maroko PR. Myocardial protection during transient coronary artery occlusion in man: Beneficial effects of regional beta-adrenergic blockade.Circulation1986; 73:734–739.
Feldman RL, MacDonald RG, Hill JA, Pepine CJ. Effect of nicardipine on determinants of myocardial ischemia occurring during acute coronary occlusion produced by percutaneous transluminal coronary angioplasty.Am J Cardiol1987; 60:267–270.
Hanet C, Rousseau MF, Vincent MF, Lavenne-Pardonge E, Pouleur H. Myocardial protection by intracoronary nicardipine administration during percutaneous transluminal coronary angioplasty.Am J Cardle!1987; 1035–1040.
Kober G, Kastner R, Hopf R, Kaltenbach M. Die direkte myokardiale antiischamische wirkung von diltiazem beim menschen.Z Kardiol1986; 75:386–393.
Pop G, Serruys PW, Piscione F, de Feyter P, van den Brand M, Huizer T, de Jong JW, Hugenholtz PG. Regional cardioprotection by subselective intracoronary nifedipine is not due to enhanced collateral flow during coronary angioplasty. Int JCardiol1987; 16:27–41.
Kern MJ, Deligonul U, Labovitz A. Effects of diltiazem and nifedipine on systemic and coronary hemodynamics and ischemic responses during transient coronary artery occlusion in patients.Am Heart J1990; 119:47–54.
Timmis AD, Crick JCP, Griffin B. Arterial blood infusion for myocardial protection during PTCA. JAm Coll Cardiol1986; 7:105A.
Angelini P, Heibig J, Leachman R. Distal hemoperfttsion during percutaneous transluminal coronary angioplasty. Am JCardiol1986; 58:252–255.
Ciernan M, Jaffe CC, Wohlgelernter D. Prevention of ischemia during percutaneous transluminal coronary angioplasty by transcatheter infusion of oxygenated Fluosol DA 20%.Cirrnlarion1986; 74:555–562.
Jaffe CC, Wohlgelernter D, Cabin H, Bowman L, Deckelbaum L, Remus M, Cleman M. Preservation of left ventricular ejection fraction during percutaneous transluminal coronary angioplasty by distal transcatheter coronary perfusion of oxygenated Fluosol DA 20%.Asti Heart)1988; 115:1156–1164.
Cowley MJ, Snow FR, DiSciascio G, Kelly K, Guard C, Nixon JV. Perfluorochemical perfusion during coronary angioplasty in unstable and high-risk patients.Circulation1990; 81(Suppl. IV)27–34.
Turi ZG, Campbell CA, Gottimukkala MV, Kioner RA. Preservation of distal coronary perfusion during prolonged balloon inflation with an autoperfusion angioplasty catheter.Circulation1987; 75:1273–1280.
Quigley PJ, Hinohara T, Phillips HR, Peter RH, Behar VS, Kong Y, Simonton CA, Perez JA, Stack RS. Myocardial protection during coronary angioplasty with an autoperfusion balloon catheter in humans.Circulation1988; 78:1128–1134.
Muhlestein JB, Quigley PJ, Phillips HR, Smith JE, Enos SM, Navetta FI, Tcheng JE, Stack RS. Does myocardial damage or hemolysis occur during prolonged perfusion balloon angioplasty? JAmCollCardiol1990; 15:250A.
Meerbaum S, Lang TW, Other JV, Hashimoto K, Lewis GW, Feldstein C, Corday E. Diastolic retroperfusion of acutely ischemic myocardium.Am J Cardiol1976; 37:588–597.
Berland J, Farcot JC, Barrier A, Dellac A, Gamra H, Letac B. Coronary venous synchronized retroperfusion during percutaneous transluminal angioplasty of left anterior descending coronary artery.Circulation1990; 81(Suppl. IV):35–42.
Voudris V, Marco J, Morice MC, Fajadet J, Royer T. “High-risk” percutaneous transluminal coronary angioplasty with preventive intra-aortic balloon counterpulsation.Gather Cardiovasc Diag1990; 19:160–164.
Shani J, Hollander G, Nathan I, Greengart A, Toporoff B, Jacobowitz I, Glassman E, Cunningham J, Lichstein E. Percutaneous left atrial-femoral artery bypass with a pulsatile pump: Initial experience in cardiogenic shock. JAPI Col! Cardiol1989; 13:53A.
Loisance D, Dubois-Rande JL, Deleuze P, Okude J, Rosenval O, Geschwind H. Prophylactic intraventricular pumping in high-risk coronary angioplasty.Lancet1980; 335:438–440.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media New York
About this chapter
Cite this chapter
Wohlgelernter, D. (1991). Myocardial Protection During Coronary Angioplasty. In: Shawl, F.A. (eds) Supported Complex and High Risk Coronary Angioplasty. Interventional Cardiology, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3890-5_2
Download citation
DOI: https://doi.org/10.1007/978-1-4615-3890-5_2
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6735-2
Online ISBN: 978-1-4615-3890-5
eBook Packages: Springer Book Archive