Application of a tapered teflon dilator to percutaneous transluminal coronary angioplasty
โ Scribed by Garnic, J. Daniel ;Polito, Santo S. ;Lee, Don W. ;Tonnemacher, David P. ;O'Connor, Lawrence R.
- Publisher
- John Wiley and Sons
- Year
- 1988
- Tongue
- English
- Weight
- 460 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0098-6569
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โฆ Synopsis
A tapered teflon dilator has been applied to 12 cases of percutaneous transluminal coronary angioplasty (PTCA). The technique was first used to predilate stenoses that could not initially be crossed with low profile over the wire PTCA balloons. In the first five cases, three angioplasties that would have been failures were converted to successes by this method. The dilator was used in place of a balloon catheter as an initial step to assess the ability of a guidewire to cross a lesion to reduce cost in five additional cases. Modification of an existing family of peripheral vascular dilators is described. The method of application of this technique to PTCA is outlined.
๐ SIMILAR VOLUMES
Restenosis following coronary angioplasty can usually be treated effectively and safely by repeated angioplasty. However, the presence of a complex lesion morphology may bias the clinician away from angioplasty toward either recommending bypass surgery or continuing medical therapy alone in spite of