By Peter M. A. Van Ooijen MSC, Jean-Louis Sablayrolles MD, Guido Ligabue MD (auth.), Matthijs Oudkerk MD, PhD (eds.)
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Finally, many studies have confirmed the important benefits of percutaneous coronary intervention in the seUing of acute myocardial infarction in comparison with thrombolytic therapy (KEELEY et al. 2003). Percutaneous intervention results in a higher rate of successful reperfusion of the epicardial cor- 38 onary artery, consequent1y resulting in a smaller infarct size, better clinical outcome and improved short- as well as long-term mortality. The acute coronary syndromes are therefor the main indications for angioplasty.
A wire was pas sed to the dis taI vessel and following balloon infiation (b) fiow was re-established (e). sus Conservative Therapy Randomised studies of patients with stable coronary artery disease have confirmed that angioplasty results in less ischemia and a somewhat better clinical outcome compared to medical therapy alone in selected patients with proven myocardial ischemia (DOUGLAS and KING 2001; SMITH et al. 2001). In this type of patient with stable coronary artery disease, there is no proof that angioplasty lowers mortality.
Acta Radiol 39:368-376 Sigwart U, Puei J, Mirkovitch V, Joffre F, Kappenburger L (1987) Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty N Eng J Med 316:701-706 Simpson JB, Baim DS, Robert EW, Harrison DC (1982) A new catheter system for coronary angioplasty. Am J Cardiol 49:216-222 Simpson JB, Robertson GC, Selmon R (1988) Percutaneous coronary atherectomy. J Am Coli cardiolll:llOA Smith SC, Dove JT, Jacobs AK, Kennedy JW, Kereiakes D, Kern MI, Kuntz RE, Popma JJ, Schaff HV et al.
Coronary Radiology by Peter M. A. Van Ooijen MSC, Jean-Louis Sablayrolles MD, Guido Ligabue MD (auth.), Matthijs Oudkerk MD, PhD (eds.)