JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
 QUICK SEARCH:   [advanced]


     


J Am Coll Cardiol, 1988; 12:1149-1155
© 1988 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Holmes, D.
Right arrow Articles by Kent, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Holmes, D., Jr
Right arrow Articles by Kent, K.

Comparison of complications during percutaneous transluminal coronary angioplasty from 1977 to 1981 and from 1985 to 1986: the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry

DR Holmes Jr, R Holubkov, RE Vlietstra, SF Kelsey, GS Reeder, G Dorros, DO Williams, MJ Cowley, DP Faxon, KM Kent, et al.

Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905.

Because the effects of changing technology in percutaneous transluminal coronary angioplasty, increased operator experience and use of the procedure in patients with extensive disease are unknown in regard to complication patterns, the initial 1977-1981 cohort and the recent 1985-1986 cohort of the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry were analyzed with respect to complications. Compared with the initial cohort of 1,155 patients, the 1,801 new cohort patients were older and had an increased prevalence of multivessel coronary artery disease, depressed left ventricular function and prior infarction. Overall complication rates in the recent cohort were either unchanged or decreased from the rates in the initial cohort despite a higher risk patient population. The most significant decreases were in the incidence of coronary spasm (p less than 0.001) and the need for emergency coronary bypass surgery (p less than 0.01). Overall in-hospital mortality was low but was dependent on the extent of vessel disease--0.2% for single vessel disease, 0.9% for double vessel disease and 2.2% for triple vessel disease (p less than 0.001 for linear trend). Acute coronary complications of branch occlusion, dissection or abrupt closure were associated with increased rates of death, nonfatal infarction or need for emergency surgery. Factors showing a multivariate association with increased mortality included a history of congestive heart failure (p less than 0.001), age greater than or equal to 65 years (p less than 0.01), triple vessel or left main coronary artery disease (p less than 0.05), female gender (p less than 0.05) and new onset angina.(ABSTRACT TRUNCATED AT 250 WORDS)


This article has been cited by other articles:


Home page
Circ Cardiovasc InterventHome page
D. R. Holmes Jr and D. O. Williams
Catheter-Based Treatment of Coronary Artery Disease: Past, Present, and Future
Circ Cardiovasc Intervent, August 1, 2008; 1(1): 60 - 73.
[Abstract] [Full Text] [PDF]


Home page
Anesth. Analg.Home page
L. T. Newsome, M. A. Kutcher, and R. L. Royster
Coronary Artery Stents: Part I. Evolution of Percutaneous Coronary Intervention
Anesth. Analg., August 1, 2008; 107(2): 552 - 569.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
D. R. Holmes Jr, D. J. Kereiakes, W. K. Laskey, A. Colombo, S. G. Ellis, T. D. Henry, J. J. Popma, P. W.J.C. Serruys, T. Kimura, D. O. Williams, et al.
Thrombosis and Drug-Eluting Stents: An Objective Appraisal
J. Am. Coll. Cardiol., July 10, 2007; 50(2): 109 - 118.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. B. King III, T. Aversano, W. L. Ballard, R. H. Beekman III, M. J. Cowley, S. G. Ellis, D. P. Faxon, E. L. Hannan, J. W. Hirshfeld Jr, A. K. Jacobs, et al.
ACCF/AHA/SCAI 2007 Update of the Clinical Competence Statement on Cardiac Interventional Procedures: A Report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training (Writing Committee to Update the 1998 Clinical Competence Statement on Recommendations for the Assessment and Maintenance of Proficiency in Coronary Interventional Procedures)
J. Am. Coll. Cardiol., July 3, 2007; 50(1): 82 - 108.
[Full Text] [PDF]


Home page
Eur Heart JHome page
G. G.L. Biondi-Zoccai, P. Agostoni, G. M. Sangiorgi, F. Airoldi, J. Cosgrave, A. Chieffo, R. Barbagallo, C. Tamburino, G. Vittori, E. Falchetti, et al.
Incidence, predictors, and outcomes of coronary dissections left untreated after drug-eluting stent implantation
Eur. Heart J., March 1, 2006; 27(5): 540 - 546.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
L. W. Klein, P. Block, R. G. Brindis, C. R. McKay, B. D. McCallister, M. Wolk, W. Weintraub, and ACC-NCDR Registry
Percutaneous coronary interventions in octogenarians in the American College of Cardiology-National Cardiovascular Data Registry: Development of a nomogram predictive of in-hospital mortality
J. Am. Coll. Cardiol., August 7, 2002; 40(3): 394 - 402.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
M. Singh, H. H. Ting, P. B. Berger, K. N. Garratt, D. R. Holmes Jr, and B. J. Gersh
Rationale for on-site cardiac surgery for primary angioplasty: a time for reappraisal
J. Am. Coll. Cardiol., June 19, 2002; 39(12): 1881 - 1889.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
A. Colombo, J. De Gregorio, I. Moussa, Y. Kobayashi, E. Karvouni, C. Di Mario, R. Albiero, L. Finci, and J. Moses
Intravascular ultrasound-guided percutaneous transluminal coronary angioplasty with provisional spot stenting for treatment of long coronary lesions
J. Am. Coll. Cardiol., November 1, 2001; 38(5): 1427 - 1433.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
D. R. Holmes Jr and P. B. Berger
Troponisms, Necrosettes, Enzyme Leaks, Creatinine Phosphokinase Bumps, and Infarctlets: What's Behind This New Lexicon and What Does It Add?
Circulation, August 7, 2001; 104(6): 627 - 629.
[Full Text] [PDF]


Home page
CirculationHome page
M. Moscucci, E. Kline-Rogers, D. Share, M. O'Donnell, A. Maxwell-Eward, W. L. Meengs, P. Kraft, A. C. DeFranco, J. L. Chambers, K. Patel, et al.
Simple Bedside Additive Tool for Prediction of In-Hospital Mortality After Percutaneous Coronary Interventions
Circulation, July 17, 2001; 104(3): 263 - 268.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. C. Smith Jr, J. T. Dove, A. K. Jacobs, J. Ward Kennedy, D. Kereiakes, M. J. Kern, R. E. Kuntz, J. J. Popma, H. V. Schaff, D. O. Williams, et al.
ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines): A report of the American College of Cardiology/ American Heart Association Task Force on practice guidelines (Committee to revise the 1993 guidelines for percutaneous transluminal coronary angioplasty) endorsed by the Society for Cardiac Angiography and Interventions
J. Am. Coll. Cardiol., June 15, 2001; 37(8): 2239 - 2239.
[Full Text] [PDF]


Home page
CirculationHome page
W. Maier, O. Mini, J. Antoni, M. B. Wischnewsky, and B. Meier
ABC Stenosis Morphology Classification and Outcome of Coronary Angioplasty : Reassessment With Computing Techniques
Circulation, March 6, 2001; 103(9): 1225 - 1231.
[Abstract] [Full Text] [PDF]


Home page
HeartHome page
A J de Belder, D E Jewitt, R J Wainwright, and M R Thomas
Development and validation of a Bayesian index for predicting major adverse cardiac events with percutaneous transluminal coronary angioplasty
Heart, January 1, 2001; 85(1): 69 - 72.
[Abstract] [Full Text]


Home page
CirculationHome page
A. W. Frey, J. M. Hodgson, C. Muller, H.-P. Bestehorn, and H. Roskamm
Ultrasound-Guided Strategy for Provisional Stenting With Focal Balloon Combination Catheter : Results From the Randomized Strategy for Intracoronary Ultrasound-Guided PTCA and Stenting (SIPS) Trial
Circulation, November 14, 2000; 102(20): 2497 - 2502.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
M. Moscucci, G. T. O'Connor, S. G. Ellis, D. J. Malenka, J. Sievers, E. R. Bates, D. W. M. Muller, S. W. Werns, E. K. Rogers, D. Karavite, et al.
Validation of risk adjustment models for in-hospital percutaneous transluminal coronary angioplasty mortality on an independent data set
J. Am. Coll. Cardiol., September 1, 1999; 34(3): 692 - 697.
[Abstract] [Full Text] [PDF]


Home page
ANN INTERN MEDHome page
K. M. Kuntz, K. E. Fleischmann, M. G.M. Hunink, and P. S. Douglas
Cost-Effectiveness of Diagnostic Strategies for Patients with Chest Pain
Ann Intern Med, May 4, 1999; 130(9): 709 - 718.
[Abstract] [Full Text] [PDF]


Home page
Eur Heart JHome page
Th. Budde, M. Haude, H.W. Hopp, S. Kerber, G. Caspari, G. Fassbender, M. Fingerhut, I. Novopashenny, Y. Ogurol, G. Breithardt, et al.
A prognostic computer model to individually predict post-procedural complications in interventional cardiology; the INTERVENT Project
Eur. Heart J., March 1, 1999; 20(5): 354 - 363.
[Abstract] [PDF]


Home page
J Am Coll CardiolHome page
R. N. Piana, W. H. Ahmed, B. Chaitman, P. Ganz, S. Kinlay, J. Strony, B. Adelman, J. A. Bittl, and on behalf of the Hirulog Angioplasty Study Investi
Effect of transient abrupt vessel closure during otherwise successful angioplasty for unstable angina on clinical outcome at six months
J. Am. Coll. Cardiol., January 1, 1999; 33(1): 73 - 78.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
D. R. Holmes Jr., K. E. Kip, W. Yeh, S. F. Kelsey, K. M. Detre, D. O. Williams, and for the Investigators of the NHLBI PTCA Registry
Long-term analysis of conventional coronary balloon angioplasty and an initial "stent-like" result: The NHLBI PTCA registry
J. Am. Coll. Cardiol., September 1, 1998; 32(3): 590 - 595.
[Abstract] [Full Text] [PDF]


Home page
ANGIOLOGYHome page
R. Altstidl, C. Goth, H. Lehmkuhl, K. Bachmann, and R. Altstidl
Quantitative Angiographic Analysis of PTCA-Induced Coronary Vasoconstriction in Single-Vessel Coronary Artery Disease
Angiology, October 1, 1997; 48(10): 863 - 870.
[Abstract] [PDF]


Home page
CirculationHome page
E. Braunwald
Induced Septal Infarction : A New Therapeutic Strategy for Hypertrophic Obstructive Cardiomyopathy
Circulation, April 15, 1997; 95(8): 1981 - 1982.
[Full Text]


Home page
CirculationHome page
G. W. Stone, J. M. Hodgson, F. G. St Goar, A. Frey, H. Mudra, H. Sheehan, and T. J. Linnemeier
Improved Procedural Results of Coronary Angioplasty With Intravascular Ultrasound–Guided Balloon Sizing : The CLOUT Pilot Trial
Circulation, April 15, 1997; 95(8): 2044 - 2052.
[Abstract] [Full Text]


Home page
CirculationHome page
K. E. Kip, D. P. Faxon, K. M. Detre, W. Yeh, S. F. Kelsey, and J. W. Currier
Coronary Angioplasty in Diabetic Patients: The National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry
Circulation, October 15, 1996; 94(8): 1818 - 1825.
[Abstract] [Full Text]


Home page
CirculationHome page
K. M. Kuntz, J. Tsevat, L. Goldman, and M. C. Weinstein
Cost-effectiveness of Routine Coronary Angiography After Acute Myocardial Infarction
Circulation, September 1, 1996; 94(5): 957 - 965.
[Abstract] [Full Text]


Home page
CirculationHome page
M. P. Savage, S. Goldberg, A. A. Bove, E. Deutsch, G. Vetrovec, R. G. Macdonald, T. Bass, J. R. Margolis, H. B. Whitworth, A. Taussig, et al.
Effect of Thromboxane A2 Blockade on Clinical Outcome and Restenosis After Successful Coronary Angioplasty : Multi-Hospital Eastern Atlantic Restenosis Trial (M-HEART II)
Circulation, December 1, 1995; 92(11): 3194 - 3200.
[Abstract] [Full Text]


Home page
CirculationHome page
K. Detre, W. Yeh, S. Kelsey, D. Williams, P. Desvigne-Nickens, D. Holmes Jr, M. Bourassa, S. King III, D. Faxon, and K. Kent
Has Improvement in PTCA Intervention Affected Long-term Prognosis? : The NHLBI PTCA Registry Experience
Circulation, June 15, 1995; 91(12): 2868 - 2875.
[Abstract] [Full Text]


Home page
CirculationHome page
M. R. Bell, D. E. Grill, K. N. Garratt, P. B. Berger, B. J. Gersh, and D. R. Holmes Jr
Long-term Outcome of Women Compared With Men After Successful Coronary Angioplasty
Circulation, June 15, 1995; 91(12): 2876 - 2881.
[Abstract] [Full Text]


Home page
NEJMHome page
C. Landau, R. A. Lange, and L. D. Hillis
Percutaneous Transluminal Coronary Angioplasty
N. Engl. J. Med., April 7, 1994; 330(14): 981 - 993.
[Full Text]


Home page
NEJMHome page
J. A. Bittl
Directional Coronary Atherectomy versus Balloon Angioplasty
N. Engl. J. Med., July 22, 1993; 329(4): 273 - 274.
[Full Text]


Home page
JWatch GeneralHome page
CORONARY ANGIOPLASTY: MORE AMBITIOUS BUT SAFER
Journal Watch (General), November 15, 1988; 1988(1115): 2 - 2.
[Full Text]




HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 1988 by the American College of Cardiology Foundation.