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Intrakoronare Gefäßstützen — Standortbestimmung und Perspektiven

  • H. W. Höpp
  • D. Franzen
  • U. Sechtem
  • H. H. Hilger
Conference paper

Zusammenfassung

Seit Andreas Grüntzig hat sich die perkutane transluminale Baiiondilatation ebenso wie in der peripheren Angiologie auch auf koronarem Gebiet als nahezu konkurrenzlose, zentrale Interventionstechnik zur Therapie flußbehindernder Stenosen etabliert. Diese Ausnahmestellung basiert nicht zuletzt auf der mit über 85% hohen primären Erfolgsrate dieses Behandlungsverfahrens. Dennoch zeigt die perkutane transluminale Koronarangioplastie (PTCA) immanente, auch durch die ständige Verbesserung der Kathetertechnik nicht zu behebende Probleme sowohl in der unmittelbaren Interventionsphase als auch im Langzeitverlauf nach zunächst erfolgreicher Reduktion der Koronarstenose: So ist zum einen erfahrungsgemäß bei etwa 5% aller Ballondilatationen mit einem akuten Verschluß der Koronararterie zu rechnen, zum anderen beträgt das statistische Risiko einer Rezidivstenose bei subtotalen Koronarläsionen um 30% und steigt bei rekanalisierten Koronarverschlüssen und nach Dilatation eines stenosierten aortokoronaren Venenbypasses auf 50% an [11, 24, 27, 49].

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • H. W. Höpp
  • D. Franzen
  • U. Sechtem
  • H. H. Hilger

There are no affiliations available

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