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Indikationen zur Koronardilatation

  • H.-J. Rupprecht
  • B. Nowak
  • J. Meyer

Zusammenfassung

Die Koronardilatation oder perkutane transluminale Koronarangioplastie (PTCA) wurde 1977 von Andreas Grüntzig in die Klinik eingeführt. Zunächst war das Verfahren auf Patienten mit stabiler Angina pectoris, koronarer Eingefäßerkrankung, guter linksventrikulärer Funktion und idealer Stenosemorphologie beschränkt [12, 13]. Eine solche Stenose sollte kurzstreckig, konzentrisch und nicht verkalkt sein, in einem geraden proximalen Gefäßabschnitt liegen, und im Stenosebereich sollten keine relevanten Seitenäste abgehen. Durch zunehmende Erfahrung und Verbesserung des eingesetzten Materials kam es zu einer Ausweitung des Indikations-Spektrums auch auf Patienten mit nicht idealer Stenosemorphologie, koronarer Mehrgefäßerkrankung, Bypassstenosen, instabiler Angina pectoris und akutem Myokardinfarkt.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • H.-J. Rupprecht
  • B. Nowak
  • J. Meyer

There are no affiliations available

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