Transluminal Coronary Angioplasty and Intracoronary Thrombolysis : Coronary Heart Disease IV

This volume contains the proceedings of the Fourth International Symposium on Coronary Heart Disease, held in Frankfurt/Federal Republic of Germany. In 1970, when the fIrst symposium was held, the whole range of diagnostic and therapeutic measures was covered, but since then interest in coronary heart disease has increased so considerably that the fourth symposium was restricted to only two therapeutic aspects, angioplasty and intracoronary thrombolysis. It can be noted with pleasure that European cardiologists, namely Andreas Griintzig and Peter Rentrop, have made essential contributions to the applicability of these modes of treatment. When angioplasty was fIrst discussed at the Third International Symposium (Coronary Heart Disease, Stuttgart, 1978) a great deal of astonishment was expressed. Today the procedure has gained an important place in the treatment of angina pecto­ ris. The proportion of candidates for coronary surgery in whom angioplasty can be attempted instead of operation is around 10%, in certain subgroups even higher. The most remarkable fmding of our 5-year experience with angioplasty are the extre­ mely good long-term results. Recurrences happen in about 15%-20% of cases within the fIrst 3 months; after this period of time, recurrences are very unusual and mostly due to progression of the disease at other sites. Angioplasty has thus also contributed to our understanding of the dynamics of the atherosclerotic process. Front Matter....Pages I-XVIII Front Matter....Pages 1-1 Percutaneous Transluminal Angioplasty....Pages 3-5 Transluminal Coronary Angioplasty: Results, Complications, Follow-up, and Consideration of Extension of Indications. An Analysis of 409 Procedures....Pages 6-10 The National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry: The First 1116 Cases....Pages 11-19 Immediate and Late Results of Percutaneous Transluminal Coronary Angioplasty....Pages 20-22 Transluminal Coronary Angioplasty: Transbrachial Approach and Prevention of Thromboembolic Complications....Pages 23-40 Treatment with Platelet Function Inhibitors....Pages 41-43 Front Matter....Pages 45-45 Effects of Percutaneous Transluminal Coronary Angioplasty on Myocardial Function During Exercise....Pages 47-52 Myocardial Function Before and After Transluminal Coronary Angioplasty....Pages 53-63 Interest of Radionuclide Methods for the Assessment of the Results of Percutaneous Transluminal Coronary Angioplasty....Pages 64-71 Parameters of Left Ventricular Contractility After Transluminal Coronary Angioplasty....Pages 72-77 Dynamic Changes in Left Ventricular Geometry and Pressure During Coronary Artery Occlusion in Man....Pages 78-80 Salutory Effect of Percutaneous Transluminal Coronary Angioplasty on Coronary Circulatory Dynamics....Pages 81-85 Back Matter....Pages 86-87 Front Matter....Pages 89-89 Unsuccessful Percutaneous Transluminal Coronary Angioplasty: Identification of Remedial Causes....Pages 91-94 Criteria for Primary Success and Long-term results. Analysis of 152 Consecutive Transluminal Coronary Angioplasties....Pages 95-101 Changes of Coronary Obstructions in the Months Following Transluminal Coronary Angioplasty....Pages 102-109 Computerized Quantitative Coronary Angiography Applied to Percutaneous Transluminal Coronary Angioplasty: Advantages and Limitations....Pages 110-124 Front Matter....Pages 125-125 Cinefluoroscopic and Video Imaging in Percutaneous Transluminal Coronary Angioplasty....Pages 127-131 Biplane Isocentric Coronary Angiography in Diagnosis and Interventional Therapy....Pages 132-138 Percutaneous Transluminal Coronary Angioplasty: Comparison of Brachial and Femoral Artery Methods....Pages 139-142 Front Matter....Pages 143-143 The Role of the Percutaneous Intra-aortic Balloon in Emergency Situations Following Percutaneous Transluminal Coronary Angioplasty....Pages 145-150 Front Matter....Pages 143-143 Emergency Reopening of Right Coronary Occlusion After Angioplasty Using Guide Wire and Thrombolysis....Pages 151-154 Front Matter....Pages 155-155 Morphology and Pathogenesis of Coronary Artery Stenosis, Relevant to Intraluminal Dilatation....Pages 157-166 Morphology and Pathogenesis of the Aortocoronary Bypass Stenosis....Pages 167-173 A New Guiding Catheter for Intubating Aortocoronary Bypass Grafts by the Femoral Approach....Pages 174-175 Histological Changes Following Transluminal Angioplasty of Experimentally Induced Atherosclerosis in Miniature Pigs....Pages 176-182 Correlation of the Effects of Transluminal Angioplasty in Experimentally Induced Rabbit Atherosclerosis with Pathological Changes in Human Coronary Artery....Pages 183-184 Acute and Chronic Effects of Transluminal Angioplasty in Three Models of Experimental Atherosclerosis....Pages 185-188 Effect of 5 kg/cm 2 Pressure on Atherosclerotic Vessel Wall Segments....Pages 189-193 Back Matter....Pages 194-195 Front Matter....Pages 197-197 Coronary Angiography in Combination with Opacification of Other Arteries and Simultaneous Transbrachial Dilatation of Peripheral and Abdominal Arteries....Pages 199-208 Transluminal Angioplasty for Vertebral Basilar Artery Stenosis....Pages 209-219 Catheter Dilatation in Subclavian Steal Syndrome....Pages 220-228 Back Matter....Pages 229-229 Front Matter....Pages 231-231 Percutaneous Transluminal Coronary Recanalization: Procedures, Results, and Acute Complications....Pages 233-241 Rapid Intracoronary Thrombolysis by Subselective Administration of Thrombolytic Agents....Pages 242-243 The Morphology of Coronary Thrombotic Occlusions Relevant to Thrombolytic Intervention....Pages 244-252 Fibrinogen in Successful and Unsuccessful Cases....Pages 253-257 Preservation of Function by Nonsurgical Coronary Artery Reperfusion....Pages 258-261 Left Ventricular Function After Reopening of Occluded Coronary Arteries....Pages 262-269 Collaterals May Determine the Functional Result of Intracoronary Streptokinase Therapy After Acute Intracoronary Fibrinolysis in Acute Myocardial Infarction....Pages 270-272 Intracoronary Fibrinolysis in Acute Myocardial Infarction. Effect on Left Ventricular Function....Pages 273-276 Two-dimensional Echocardiographic Findings in Patients with Evolving Myocardial Infarction Treated by Intracoronary Fibrinolysis....Pages 277-280 Back Matter....Pages 343-344 Front Matter....Pages 231-231 Intracoronary Fibrinolysis in Acute Myocardial Infarction: Hospital Follow-up....Pages 281-283 Relevance of Hemorrhage After Reperfusion in Acute Myocardial Infarction....Pages 284-290 A New Concept in Producing Experimental Myocardial Infarction: Intracoronary Application of Thrombin....Pages 291-298 Thrombolysis in Acute Experimental Myocardial Infarction....Pages 299-309 Serum Creatine Kinase Values in the Course of Acute Myocardial Infarction Following Local Fibrinolytic Therapy....Pages 310-311 Effects of Coronary Artery Reperfusion on Myocardial Infarct Size in Conscious Dogs....Pages 312-317 Coronary Artery Recanalization and Subsequent Aortocoronary Bypass Surgery in Acute Myocardial Infarction....Pages 318-323 Combined Intracoronary Fibrinolysis and Early Aortocoronary Bypass Graft....Pages 324-326 Surgical Revascularization after Intracoronary Lysis....Pages 327-331 Systemic Short-Time Thrombolysis in Acute Myocardial Infarction....Pages 332-340 The Use of Plasminogen in Intracoronary Lysis....Pages 341-342 Back Matter....Pages 343-344 Front Matter....Pages 345-345 Preliminary Experience with Percutaneous Transluminal Coronary Angioplasty in Patients with Coronary Spasm....Pages 347-360 Transluminal Coronary Angioplasty and Coronary Spasm....Pages 361-362 Morphological and Functional Criteria for a Successful Percutaneous Transluminal Angioplasty....Pages 363-366 Transluminal Angioplasty in Patients with Unstable Angina Pectoris....Pages 367-371 Adrenergic Coronary Vasoconstriction with Coronary Stenosis....Pages 372-377 Variant Angina: The Role of Thromboxane A 2 with Observations on the Importance of Study Design....Pages 378-390 Prostaglandin Derivatives and Platelet-specific Proteins During Transluminal Coronary Angioplasty....Pages 391-394 Persistent Angina After Transmural Infarction due to High-grade Single-vessel Stenosis....Pages 395-397 Prognosis of Nontransmural Myocardial Infarction....Pages 398-399 Back Matter....Pages 400-400 Front Matter....Pages 401-401 Percutaneous Transluminal Recanalization (Angioplasty) in Leg Arteries....Pages 403-407 The Fate of “No Angioplasty” in Peripheral Vascular Disease....Pages 409-411 Percutaneous Transluminal Renal Angioplasty: Experience in Over 100 Arteries....Pages 412-425 Percutaneous Transluminal Dilatation (Angioplasty) in Renal Arteries....Pages 426-430 Percutaneous Transluminal Angioplasty in the Treatment of Renovascular Hypertension....Pages 431-439 Back Matter....Pages 440-440 Back Matter....Pages 441-444