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. 1988 Feb;59(2):151–158. doi: 10.1136/hrt.59.2.151

Acute complications of elective coronary angioplasty: a review of 500 consecutive procedures.

G Steffenino 1, B Meier 1, L Finci 1, V Velebit 1, L von Segesser 1, B Faidutti 1, W Rutishauser 1
PMCID: PMC1276977  PMID: 2963656

Abstract

In 500 consecutive procedures of elective coronary angioplasty attempted at a centre with a primary success of 86%, one or more major acute complications occurred in 34 cases (6.8%). Twenty four patients (4.8%) sustained an acute myocardial infarction (in six this was despite emergency coronary artery bypass surgery) and two patients (0.4%) had emergency coronary bypass without myocardial infarction. Ventricular fibrillation was a complication without sequelae in five (1.0%) patients; one (0.2%) patient died because of refractory ventricular fibrillation and ensuing electromechanical dissociation. "Benign" coronary artery rupture occurred in one (0.2%) patient, and one (0.2%) patient had elective coronary surgery to retrieve the tip of a fractured guide wire after an otherwise successful angioplasty. Despite a low mortality, coronary angioplasty is associated with major complications in about one of 14 procedures; the complication is usually acute myocardial infarction caused by occlusion of the vessel.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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