Short-term clinical results of balloon coronary angioplastyin patients with ischemic heart disease with affection ofthree coronary vessels


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Abstract

Aim. To study a short-term clinical effect of balloon coronary angioplasty (BCA) in patients with affection of three coronary arteries regarding an anginal form and completeness of myocardial revascularization.
Material and methods. The study included 80 patients with coronary heart disease (CHD) having
three affected major coronary arteries after BCA among them 48patients with stable and 32 patients
with unstable angina. The procedures were made using "Polydiagnost C"angiographic complex
(Philips, Holland).
Results. Overall clinical efficacy of BCA in affection of three coronary arteries was 88.75% (in 71 of
80 patients), no response was observed in 9 of 80 patients (11.25%). The response to BCA was independent of the anginal form. In stable angina there were no differences in clinical efficacy in complete
and incomplete functionally-adequate anatomic BCA (91 and 89.6%, respectively). In incomplete anatomic revascularization clinical effect was less (62.5%). In unstable angina a clinical effect of BCA
did not depend on the degree of myocardial revascularization. Stenting raised clinical response to BCA
in all the patients.
Conclusion. The findings demonstrate high clinical efficacy of BCA in affection of three coronary arteries irrespective of an angina form. Incomplete anatomic revascularization in stable effort angina is
less effective but can be used if other operations are impossible. If definition of the symptom-causing
artery is possible, the intervention should be limited to BCA of this artery to decide on dilation of other
arteries later.

References

  1. Бабунашвшш А. М., Иванов В. А., Бирюков С. А. Эндопротезирование (стентирование) венечных артерий сердца. М.: АСВ; 2001.
  2. Бабунашвшш А. М., Рабкин И. X, Иванов В. А. Коронарная ангиопластика. М.: АСВ; 1996.
  3. Бабунашвшш А. М., Рабкин И. X., Матевосов А. Л., АбуговА. М. Чрескожная транслюминальная ангиопластика при множественных поражениях коронарных артерий сердца. Кардиология 1995; 6: 20-26.
  4. Сумароков А. В., Моисеев В. С. Клиническая кардиология. М.: Медицина; 1986.
  5. Сыркин А. Л. Инфаркт миокарда. М.: Мед. информ. агентство; 1998. Крыжановский В. А., Пауэре Э. Р. Стенты при первичной ангиопластике у больных инфарктом миокарда. Кардиология 1999; 7: 60-68.
  6. Козлов К. Л. Интервенционная пластика венечных артерий. СПб: ЭЛБИ; 2000.
  7. Gruentcig A. R., Myler R. К., Наппа Е. S. et al. Coronary transluminal angioplasty. Circulation 1977; 84 (suppl. Ill): 55-56.
  8. Holmes D. R., Holubkov R., Vliestra R. E. et al. Comparison of complications during PTCA from 1977 to 1981 and from 1985 to 1986. J. Am. Coll. Cardiol. 1988; 12: 1149-1155.
  9. Крыжановский В. А., Пауэре Э. Р. Стенты при первичной ангиопластике у больных инфарктом миокарда. Кардиология 1999; 7: 60-68.
  10. Benttvoglio L. G, Holubkov R., Kelsey S. F. et al. Short and long term outcome of percutaneus transluminal coronary angioplasty in unstable versus stable angina pectoris a report of the 1985-1986 NHLB1 PTCA registry. Cateth. Cardiovasc. Diagn. 1991; 23: 227-238.
  11. Bourassa M. G., Feldman В., Brower R. W. Strategy for complete revascularization in patients with multivessel coronary disease. Am. J. Cardiol. 1992; 70 (2): 174-178.
  12. Chen L., Chester M., Croock R. Differental progression of complex culprit stenosis in patient with stable and unstable angina pectoris. J. Am. Coll. Cardiol. 1996; 28 (3): 423.
  13. DeFeyter P. J. Coronary angioplasty for unstable angina. Am.Heart J. 1989; 1860.
  14. Kadel C, Vallbracht C, Buss F. et al. Long-term follow up after percutaneus transluminal coronary angioplasty in patients with single vessel disease. Ibid. 1992; 124: 1159-1169.
  15. Deligonul U., Vandormael M. G., Kern M. J. et al. Coronary angioplasty: A therapeutic option for symptomatic patients with two and three vessel coronary disease. J. Am. Coll. Cardiol. 1988; 11: 1173-1179.
  16. Lafont A., Dimas A. P., Grigera F., Pearce G Percutaneous transluminal coronary angioplasty of one major coronary artery when the contralateral vessel is occluded. Ibid. 1993; 22: 1298-1303.
  17. Thomas E. S., Most A. S., Williams D. O. Coronary angioplasty with multivessel coronary artery disease: Follow-up clinical status. Am. Heart J. 1988; 115: 8-13.
  18. Elis S. G., Cowley M. /., DiSciascio G. et al. Determinants of 2-year outcome after coronary angioplasty in patients with multivessel disease on the basis of comprehensive preprocedural evaluation: Implications for patient selection. Circulation 1991; 82:234-241.
  19. Nobuyoshi M., Kimura Т., Nosoka H. et a]. Restenosis after successful percutaneous transluminal coronary angioplasty: Serial angiographic follow-up of 229 patients. J. Am. Coll. Cardiol. 1988; 12: 616-623.
  20. Абугов С. А., Саакян Ю. М., Пурецкий М. В. Эффективность баллонной коронарной ангиопластики в лечении больных с многососудистым поражением коронарного русла. Анналы НЦХ РАМН 1996; 1: 145-167.
  21. Савченко А. П., Абугов С. А., Саед И. Результаты баллонной ангиопластики коронарных артерий у больных пожилого возраста. Визуализация в клинике 1992; 1: 5-8.
  22. Jones R. H. Complex angioplasty: A surgeon's perspective. Am.J. Cardiol. 1992; 69: 22F-24F.

Copyright (c) 2003 Oleinik A.O., Dovgatevsky P.Y., Shitikov I.V., Titkov I.V.

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