6533b859fe1ef96bd12b7f62

RESEARCH PRODUCT

Recanalization of Totally Occluded Coronary Vessels by Percutaneous Transluminal Coronary Angioplasty

C. Von OlshausenRaimund ErbelTiberius PopA. AydinDiefenbach CG. SchreinerJ. MeyerHans-jürgen Rupprecht

subject

Cardiac function curvePercutaneous transluminal coronary angioplastymedicine.medical_specialtybusiness.industryBlood flowmedicine.diseaseTotal occlusionAnginaCollateral flowInternal medicinemedicineCardiologyIn patientbusiness

description

Since its introduction in 1977, percutaneous transluminal coronary angioplasty (PTCA) has become an effective approach for treatment of patients with single-vessel disease [1–3, 5]. Treatment of double- and multiple-vessel disease has also been attempted [5, 6]. In patients with angina pectoris total occlusion of coronary vessels is found, and PTCA has also been used in an attempt to restore coronary blood flow in such patients [8, 10]. Even main stem occlusions have been recanalized [11]. In patients with total occlusion of coronary vessels, collateral flow is sufficient to maintain cardiac function at rest but not during exercise [12–14]. Therefore, PTCA seems to be an ideal method for restoring antegrade coronary blood flow.

https://doi.org/10.1007/978-3-642-72407-7_14