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. 1990;17(1):65–68.

Distal Coronary Hemoperfusion and Prolonged Balloon Inflation for Acute Occlusion

Occurring during Percutaneous Transluminal Coronary Angioplasty

Jacques Heibig 1, Scott Harris 1
PMCID: PMC324904  PMID: 15227193

Abstract

We report 3 cases that demonstrate the use of distal coronary hemoperfusion with prolonged balloon inflation to treat acute coronary occlusion occurring during percutaneous transluminal coronary angioplasty. Despite acute occlusion, 2 of the patients had a good angioplasty result, and the 3rd underwent elective coronary bypass surgery. Thus, emergency coronary bypass was avoided in all 3 cases. (Texas Heart Institute Journal 1990;17:65-8)

Keywords: Coronary artery disease

Keywords: distal coronary hemoperfusion

Keywords: angioplasty

Keywords: PTCA

Keywords: ischemia

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Selected References

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

  1. Angelini P., Heibig J., Leachman D. R. Distal hemoperfusion during percutaneous transluminal coronary angioplasty. Am J Cardiol. 1986 Aug 1;58(3):252–255. doi: 10.1016/0002-9149(86)90057-3. [DOI] [PubMed] [Google Scholar]
  2. Cohen M., Rentrop K. P. Limitation of myocardial ischemia by collateral circulation during sudden controlled coronary artery occlusion in human subjects: a prospective study. Circulation. 1986 Sep;74(3):469–476. doi: 10.1161/01.cir.74.3.469. [DOI] [PubMed] [Google Scholar]
  3. Heibig J., Angelini P., Leachman D. R., Beall M. M., Beall A. C., Jr Use of mechanical devices for distal hemoperfusion during balloon catheter coronary angioplasty. Cathet Cardiovasc Diagn. 1988;15(3):143–149. doi: 10.1002/ccd.1810150303. [DOI] [PubMed] [Google Scholar]
  4. Hinohara T., Simpson J. B., Phillips H. R., Stack R. S. Transluminal intracoronary reperfusion catheter: a device to maintain coronary perfusion between failed coronary angioplasty and emergency coronary bypass surgery. J Am Coll Cardiol. 1988 May;11(5):977–982. doi: 10.1016/s0735-1097(98)90054-7. [DOI] [PubMed] [Google Scholar]
  5. Killen D. A., Hamaker W. R., Reed W. A. Coronary artery bypass following percutaneous transluminal coronary angioplasty. Ann Thorac Surg. 1985 Aug;40(2):133–138. doi: 10.1016/s0003-4975(10)60005-7. [DOI] [PubMed] [Google Scholar]
  6. Marquis J. F., Schwartz L., Aldridge H., Majid P., Henderson M., Matushinsky E. Acute coronary artery occlusion during percutaneous transluminal coronary angioplasty treated by redilation of the occluded segment. J Am Coll Cardiol. 1984 Dec;4(6):1268–1271. doi: 10.1016/s0735-1097(84)80148-5. [DOI] [PubMed] [Google Scholar]
  7. Mathey D. G., Sheehan F. H., Schofer J., Dodge H. T. Time from onset of symptoms to thrombolytic therapy: a major determinant of myocardial salvage in patients with acute transmural infarction. J Am Coll Cardiol. 1985 Sep;6(3):518–525. doi: 10.1016/s0735-1097(85)80107-8. [DOI] [PubMed] [Google Scholar]
  8. Palazzo A. M., Gustafson G. M., Santilli E., Kemp H. G., Jr Unusually long inflation times during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Diagn. 1988;14(3):154–158. doi: 10.1002/ccd.1810140304. [DOI] [PubMed] [Google Scholar]
  9. Turi Z. G., Campbell C. A., Gottimukkala M. V., Kloner R. A. Preservation of distal coronary perfusion during prolonged balloon inflation with an autoperfusion angioplasty catheter. Circulation. 1987 Jun;75(6):1273–1280. doi: 10.1161/01.cir.75.6.1273. [DOI] [PubMed] [Google Scholar]

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