Current Problems in PTCA

1. Front Matter

   Pages I-VIII

   PDF

2. Diagnostic Procedures Before, During, and After PTCA

   • Bernhard Meier

   Pages 1-7

3. Current Indications for PTCA

   • B. Höfling, T. von Arnim, A. Stäblein, E. Kreuzer, B. Kemkes

   Pages 9-19

4. Early and Late Results After Percutaneous Transluminal Coronary Angioplasty Compared with Bypass Operation

   • G. Kober, C. Vallbracht, M. Kaltenbach

   Pages 21-26

5. Detection of Ischemia during PTCA with Extended Electrocardiographic Monitoring

   • T. von Arnim, A. Stäblein, B. Höfling

   Pages 27-34

6. Effect of Coronary Occlusion During Percutaneous Transluminal Angioplasty on Systolic and Diastolic Left Ventricular Function, Coronary Hemodynamics, and Myocardial Energetic Metabolism

   • Patrick W. Serruys, F. Piscione, W. Wijns, J. A. J. Hegge, E. Harmsen, M. van den Brand et al.

   Pages 35-53

7. Selective Coronary Perfusion via Angioplasty Catheters — Technical and Physiological Aspects

   • U. W. Busch

   Pages 55-61

8. Prevention of Thrombosis in Percutaneous Coronary Angioplasty

   • M. A. J. Weber, J. Kotzur, A. Zitzmann, M. Haufe, W. Schramm, R. Lorenz et al.

   Pages 63-66

9. Platelets, Prostanoids and Percutaneous Transluminal Coronary Angioplasty

   • H. Riess

   Pages 67-74

10. Coronary Spasm in Patients Treated by Percutaneous Transluminal Coronary Angioplasty

    • R. Erbel, G. Schreiner, T. Pop, H. J. Rupprecht, J. Meyer

    Pages 75-81

11. Incidence of Restenosed Coronary Lesions after PTCA Analysis of Possibly Meaningful Factors

    • E. Fleck, V. Regitz, A. Lehnert, S. Dacian, J. Dirschinger, W. Rudolph

    Pages 83-88

12. Influence of Balloon Size on Recurrence Rate of Coronary Artery Stenosis. Results of a Prospective Investigation

    • R. von Essen, R. Uebis, B. Bertram, H. J. Schmitz, K. Seiger, S. Effert

    Pages 89-93

13. Significance of the Angiographic Coronary Morphology for the Early Outcome of PTCA

    • T. Ischinger

    Pages 95-100

14. Obstructions Within or Immediately Adjacent to the Left Main Coronary Artery: an Indication for PTCA?

    • R. Simon, I. Amende, G. Herrmann, P. R. Lichtlen

    Pages 101-107

15. Recanalization of Totally Occluded Coronary Vessels by Percutaneous Transluminal Coronary Angioplasty

    • Raimund Erbel, C. Diefenbach, G. Schreiner, T. Pop, C. von Olshausen, H. J. Rupprecht et al.

    Pages 109-115

16. Percutaneous Transluminal Coronary Angioplasty in Acute Myocardial Infarction With and Without Prior Systemic Fibrinolytic Therapy

    • W. Rutsch, M. Schartl, H. Schmutzler

    Pages 117-121

17. The Follow-up of PTCA Using Thallium-201 Myocardial Scintigraphy

    • Carl-Martin Kirsch

    Pages 123-130

18. Is the candidate for PTCA always also a candiate for aortocoronary bypass operation?

    • H. C. Mehmel

    Pages 131-133

19. Complementary Relationships of Coronary Bypass Surgery and Percutaneous Transluminal Coronary Angioplasty

    • John S. Douglas Jr.

    Pages 135-141

20. Surgical Procedures During Evolving Infarction and After Thrombolysis and Unsuccessful PTCA

    • B. Reichart

    Pages 143-148

Since coronary angioplasty was first practiced by Andreas Gruntzig in 1977, it has rapidly developed into a technique widely used on patients with chronic and acute coronary heart disease. The meeting described in this book was held under the auspices of the working group of our national society, chaired by Prof. Kaltenbach, Frankfurt, and by Prof. Meyer, Mainz, in cooperation with Stanford University. It is an attempt to present various cardiologists' appraisals of the current position ofPTCA in clinical medicine. PTCA is far from easy, as its mechanism is critically balanced between success and fail­ ure. Therefore the experience of more than one hundred cases is generally regarded as ne­ cessary for cutting down complications and achieving a high rate of sli'ccess. Furthermore, success and complications are a result not only of technical expertise, but also of patient selection. The emphasis of the workshop was on discussion of some unsolved problems and open questions such as: - What are the reliable indication guide-lines? - What are the established guide-lines for deciding, once a complication occurs, between operative and non-operative treatment? - What are the indications and limitations for the combined use of thrombolysis with PTCA in acute myocardial infarction? - When and at what intervals should PTCA be applied after successful lysis? - Who are the candidates for dilatation of main stem stenosis? - When should one attempt to open occluded arteries and which technique shows the most promise?

• Dilatation
• PTCA
• coronary heart disease
• heart
• heart disease
• myocardial infarction

• Medizinische Klinik I, Klinikum Großhadern, München 70, Germany

  B. Höfling

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