Skip to main content

Coronary Angioplasty in Impending and Evolving Myocardial Infarction

  • Conference paper
Update in Intensive Care and Emergency Medicine

Abstract

The clinical syndrome of unstable angina causes great concern to clinicians because of the perceived high risk of progression to myocardial infarction or death. The various options among pharmacological treatment and surgery have led to one consensus. It is now common practice to initially stabilize the acute ischemic symptoms with intensive medical treatment first and to reserve bypass surgery for those refractory to medical treatment. Since PTCA has gained acceptance as an alternative form of revascularization, patients with unstable angina pectoris, although initially not thought suitable as candidates, because of their instability, have successfully undergone this procedure [1, 2]. Now that investigator experience has grown and as significant advances have been made in catheter technology, it was considered timely to present our experience with emergency PTCA, with a steerable dilatation catheter, as an alternative to CABG.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Williams DO, Riley RS, Singh AK, Gewirtz H, Most AS (1981) Evaluation of the role of coronary angioplasty in patients with unstable angina pectoris. Am Heart J 102: 1–9

    Article  PubMed  CAS  Google Scholar 

  2. Meyer J, Schmitz H, Kiesslich T, Erbel R, Krebs W, Schultz W, Bardos P, Minale C, Messmer BJ, Effert S (1983) Percutaneous transluminal coronary angioplasty in patients with stable and unstable angina pectoris: analysis of early and late results. Am Heart J 106: 973–980

    Article  PubMed  CAS  Google Scholar 

  3. Faxon DP, Detre KM, McGabe CH, Fisher L, Holmes DR, Cowley J, Bourassa MG, van Raden TJ (1983) Role of percutaneous coronary angioplasty in the treatment of unstable angina. Report from the National Heart, Lung and Blood Institute Percutaneous Transluminal Coronary Angioplasty and Coronary Artery Surgery Study Registries. Am J Cardiol 53/II: 131C–135C

    Google Scholar 

  4. Meltzer RS, van den Brand M, Serruys PW, Fioretti P, Hugenholtz PG (1982) Intracoronary sequential streptokinase and transluminal angioplasty in unstable angina with evolving infarction. Am Heart J 104: 1109–1111

    Article  PubMed  CAS  Google Scholar 

  5. Serruys PW, van den Brand M, Hooghoudt TEH, et al (1982) Coronary recanalization in acute myo-cardial infarction. Immediate results and potential risks. Eur H J 3: 404–415

    CAS  Google Scholar 

  6. Goldberg S, Urban P, Greenspon A, Berger B, Walinsky M, Maroko P (1982) Reperfusion in acute myocardial infarction. Am J Cardiol 49: 1033

    Article  Google Scholar 

  7. Hartzler G, Rutherford B, McConohay D (1982) Percutaneous coronary angioplasty with and without prior streptokinase infusion for treatment of acute myocardial infarction. Am J Cardiol 49: 1033

    Article  Google Scholar 

  8. Gold HK, Leinbach R, Palacios I, Block P, Buckley M, Akins C, Daggett W, Austen G (1982) Effect of immediate angioplasty on coronary patency following infarct therapy with streptokinase. Am J Cardiol 49: 1033

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Serruys, P.W., de Feyter, P.J., van den Brand, M. (1985). Coronary Angioplasty in Impending and Evolving Myocardial Infarction. In: Vincent, J.L. (eds) Update in Intensive Care and Emergency Medicine. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 178. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70309-6_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-70309-6_47

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-15261-3

  • Online ISBN: 978-3-642-70309-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics