Treatment of long coronary artery narrowings with long angioplasty balloon catheters

Alan N. Tenaglia, James P. Zidar, John D. Jackman, Donald F. Fortin, Mitchell W. Krucoff, James E. Tcheng, Harry R. Phillips, Richard S. Stack

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Balloon angioplasty of long coronary artery narrowings has been associated with a lower rate of acute success, and a higher rate of acute complications and restenosis than that observed for short narrowings. Angioplasty catheters with longer length balloons (30 and 40 mm) are now available, and the objective of this study was to determine the acute and long-term success for patients with long coronary artery narrowings treated with these longer balloons. All patients with long narrowings (≥10 mm) treated with long balloons at 1 institution over a 1-year period were identified (93 narrowings in 89 patients), and acute and long-term outcomes were carefully documented. Procedural success (residual stenosis ≤50%) was 97%. Abrupt closure occurred in 6% and major dissection in 11% of narrowings. Clinical success (procedural success without in-hospital death, bypass surgery or myocardial infarction) was achieved in 90% of patients. Repeat catheterization was performed in 61 patients (76% of those eligible), and restenosis was found in 50 to 55%, depending on the definition used. The treatment of long coronary artery narrowings using angioplasty catheters with longer balloons leads to high rates of acute success. However, there is a high rate of restenosis. New interventional devices for long lesions should be compared with long balloons in a randomized controlled trial.

Original languageEnglish
Pages (from-to)1274-1277
Number of pages4
JournalThe American journal of cardiology
Volume71
Issue number15
DOIs
StatePublished - Jun 1 1993
Externally publishedYes

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Balloon Angioplasty
Coronary Vessels
Catheters
Angioplasty
Therapeutics
Catheterization
Dissection
Pathologic Constriction
Randomized Controlled Trials
Myocardial Infarction
Equipment and Supplies

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Tenaglia, A. N., Zidar, J. P., Jackman, J. D., Fortin, D. F., Krucoff, M. W., Tcheng, J. E., ... Stack, R. S. (1993). Treatment of long coronary artery narrowings with long angioplasty balloon catheters. The American journal of cardiology, 71(15), 1274-1277. https://doi.org/10.1016/0002-9149(93)90539-O

Treatment of long coronary artery narrowings with long angioplasty balloon catheters. / Tenaglia, Alan N.; Zidar, James P.; Jackman, John D.; Fortin, Donald F.; Krucoff, Mitchell W.; Tcheng, James E.; Phillips, Harry R.; Stack, Richard S.

In: The American journal of cardiology, Vol. 71, No. 15, 01.06.1993, p. 1274-1277.

Research output: Contribution to journalArticle

Tenaglia, AN, Zidar, JP, Jackman, JD, Fortin, DF, Krucoff, MW, Tcheng, JE, Phillips, HR & Stack, RS 1993, 'Treatment of long coronary artery narrowings with long angioplasty balloon catheters', The American journal of cardiology, vol. 71, no. 15, pp. 1274-1277. https://doi.org/10.1016/0002-9149(93)90539-O
Tenaglia AN, Zidar JP, Jackman JD, Fortin DF, Krucoff MW, Tcheng JE et al. Treatment of long coronary artery narrowings with long angioplasty balloon catheters. The American journal of cardiology. 1993 Jun 1;71(15):1274-1277. https://doi.org/10.1016/0002-9149(93)90539-O
Tenaglia, Alan N. ; Zidar, James P. ; Jackman, John D. ; Fortin, Donald F. ; Krucoff, Mitchell W. ; Tcheng, James E. ; Phillips, Harry R. ; Stack, Richard S. / Treatment of long coronary artery narrowings with long angioplasty balloon catheters. In: The American journal of cardiology. 1993 ; Vol. 71, No. 15. pp. 1274-1277.
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