Is the candidate for PTCA always also a candiate for aortocoronary bypass operation?

  • H. C. Mehmel
Conference paper

Abstract

In its early days, PTCA was performed in patients with single-vessel disease, angina pectoris, and a pathologic exercise test, e.g., ST-segment depression, who were also considered for surgery at that time [1]. With increasing experience, skill, and development of the technique, patients with two- and three-vessel disease are now treated with PTCA, and for many of these patients an aortocoronary bypass operation is indicated as well. The question is whether every PTCA candidate should be also a candidate for surgery. In the early days of PTCA the answer was “yes”. As the indications for surgery have become more restrictive in patients with mild angina pectoris, PTCA now is applied more frequently as an alternative to drug therapy rather than as an alternative to surgery.

Keywords

Depression 

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References

  1. 1.
    Grüntzig A (1978) Transluminal dilatation of coronary artery stenosis. Lancet 1: 263PubMedCrossRefGoogle Scholar
  2. 2.
    Meier B, Grüntzig AR, Siegenthaler WE, Schlumpf M (1983) Long-term exercise performance after percutaneous transluminal coronary angioplasty and coronary artery bypass grafting. Circulation 68: 796PubMedCrossRefGoogle Scholar
  3. 3.
    Dorros G, Cowley MJ, Simpson J et al. (1983) Percutaneous transluminal coronary angioplasty: report of complications from the National Heart, Lung, and Blood Institute PTCA registry. Circulation 67: 723PubMedCrossRefGoogle Scholar

Copyright information

© Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt 1986

Authors and Affiliations

  • H. C. Mehmel
    • 1
  1. 1.II. Medizinische KlinikKlinikum KarlsruheKarlsruheGermany

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