PCI Outcome 1981-2001

AVAILABLE FOR SELF-PACED LEARNING
Latest clinical updates: long-term outcome following contemporary PCI
 http://www.theheart.org/index.cfm?doc_id=26564  
CME credit: 1 hour, category 1
Eric Topol MD, Christopher Cannon MD, and David Moliterno MD discuss the evidence, the timing of therapy, and the implications for long-term outcomes in PCI patients.
[Supported by an unrestricted educational grant from Merck US Human Health.]

Intracoronary Doppler- and quantitative coronary angiography-derived predictors of major adverse cardiac events after stent implantation
Haude M, et al.
Circulation 2001;103:1212-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11238263
Measurement of relative distal coronary flow velocity reserve and percent diameter stenosis after stent implantation are best suitable to predict MACE at 6 months.

Angioplasty outcome poor in patients with prior bypass surgery
Patients with prior coronary artery bypass grafting (CABG) who undergo primary angioplasty for acute myocardial infarction are at increased risk of major adverse events and mortality, cardiologists report in the September issue of the American Heart Journal.
http://cardiology.medscape.com/42970.rhtml?srcmp=card-092801 

Continued benefit of coronary stenting versus balloon angioplasty: five-year clinical follow-up of Benestent-I trial
Kiemeneij F, et al.
J Am Coll Cardiol 2001;37:1598-603
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11345371 
With slides / 5-year data for patients randomized to stents or standard PTCA in the Benestent I trial point to fewer repeat revascularization procedures in the stented patients
http://www.theheart.org/index.cfm?doc_id=23049 

The effects of contemporary use of coronary stents on in-hospital mortality. Registry Committee of the Society for Cardiac Angiography and Interventions
Kimmel SE, et al.
J Am Coll Cardiol 2001;37:499-504
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11216969
Read Comment

Influence of planned six-month follow-up angiography on late outcome after percutaneous coronary intervention: a randomized study
ten Berg JM, et al.
J Am Coll Cardiol 2001;38:1061-9
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11583883
Planned follow-up angiography to evaluate the late results of coronary intervention led to a 1.7 times higher reintervention rate. This effect was similar for stented and nonstented patients. More reinterventions did not improve survival but tended to reduce the incidence of MI and led to a significantly better functional class at follow-up.

Editorial
The "angioplastically correct" follow up strategy after stent implantation
FRANCOIS SCHIELE
Heart 2001;85 363-364
http://www.heartjnl.com/cgi/content/full/85/4/363
The prevailing attitude of angiographic control and revascularisation guided solely by symptoms or residual ischemia should not overshadow either the fact that non-invasive methods for detecting myocardial ischaemia have only a mediocre positive predictive value.The safety of the angioplasty procedure and the low TVR rate assured by the use of stents should not make us forget the risk of restenotic lesions going unrecognised. Thanks to stenting, coronary angioplasty is increasingly performed in high risk patientsfor example, those with low left ventricular ejection fraction, multivessel disease, or with complex and unfavourable lesions located on the ostium or even on the left main coronary artery. This being so, it may be more sensible to advocate systematic angiographic control and consider revascularisation when there is angiographic restenosis, even in the absence of symptoms and even if this departs from an "angioplastically correct" attitude.

Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: a 20-year experience
Suero JA, et al.
J Am Coll Cardiol 2001;38:409-14
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11499731 

Long-term (> or =8 years) outcome after Palmaz-Schatz stent implantation
Choussat R, et al.
Am J Cardiol 2001;88:10-6
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11423051
This study provided a useful assessment of very long-term outcome in survival, event-free survival, and predictors of major cardiac events 8 to 10 years after Palmaz-Schatz stent implantation.

Review 
Long-term outcome after coronary stenting 
  Kastrati A et al
  Curr Control Trials Cardiovasc Med 2000, 1:48-54
  Click here to view the full article

TCT 2000 Slide Sets

AHA 2000 Meeting Coverage

Accreditation of hospitals for percutaneous coronary intervention on the basis of volume or clinical outcome using MEDPAR data sets: effect on patient mortality, cost and treatment accessibility
   Ellis SG et al.
J Invasive Cardiol 2000;12:464-71 
   http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010973372
   Click here to view the slide

Angiographic no-reflow phenomenon as a predictor of adverse long-term outcome in patients treated with percutaneous transluminal coronary angioplasty for first acute myocardial infarction
  Morishima I et al. 
  J Am Coll Cardiol 2000;36:1202-9 
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=00110284719  
  Click here to view the synopsis
Angiographic no-reflow phenomenon strongly predicts long-term cardiac complications after AMI; these complications are possibly associated with LV remodeling.

Nine-year follow-up of balloon-expandable Palmaz-Schatz stent in patients with single-vessel disease
  Karam C || Marco J
  Catheter Cardiovasc Interv 2000;50:170-4
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010842382
Study on 107 patients undergoing Palmaz-Schatz stent implantation in 1989 (66% with single-vessel disease) The 9-year event-free survival rate was 60%, and 81.7% of the patients were free from death, MI, and CABG.  By multivariate analysis, the only predictive factor of MACE was the presence of diabetes mellitus (P<0.004).

Long-term outcome in patients treated by intracoronary stenting with ticlopidine and aspirin, and deleterious prognostic role of unstable angina pectoris
  Angioi M, et al.
  Am J Cardiol 2000;85:1065-70
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010781753
Unstable angina at rest remains an adverse prognostic indicator in patients treated with intracoronary stents, particularly with regard to subsequent requirement of revascularization procedures and event-free survival.

Association between minor elevations of creatine kinase-MB level and mortality in patients with acute coronary syndromes without ST-segment elevation. PURSUIT Steering Committee. Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy
  Alexander JH et al.
  JAMA 2000;283:347-53
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010647797
Our data show that elevation of CK-MB level is strongly related to mortality in patients with acute coronary syndromes without ST-segment elevation, and that the increased risk begins with CK-MB levels just above normal. In the appropriate clinical context, even minor CK-MB elevations should be considered indicative of myocardial infarction

Long-term clinical events following creatine kinase--myocardial band isoenzyme elevation after successful coronary stenting   Saucedo JF, et al.
  J Am Coll Cardiol 2000;35:1134-41
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010758952
Patients with CK-MB elevation >5 times normal had higher late mortality and more unfavorable event-free survival than those patients with normal or lower CK-MB rise after coronary stenting. While intermediate CK-MB elevation (>1 to 5 times normal) is frequent after coronary stenting (26%), this was not associated with an increased risk of late mortality or major adverse clinical events.

Prognostic value of cardiac troponin-I levels following catheter-based coronary interventions
  Fuchs S et al.
  Am J Cardiol 2000;85:1077-82
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010781755
Tn-I levels >3 times the normal limit and conjoint elevation of Tn-I and CK- MB levels after coronary angioplasty are associated with increased risk of major in-hospital complications, but have no incremental risk of adverse intermediate-term (8 months) clinical outcomes.

Prediction of death after percutaneous coronary interventional procedures
  Rihal CS et al.
  Am Heart J 2000;139:1032-8
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010827384
The risk score derived from the New York multivariate model was highly predictive of death (chi-square = 213.8; P <.0001). The presence of a high-risk lesion characteristic such as calcium, thrombus, or type C lesion was modestly associated with death.

Eight-year mortality in the Emory Angioplasty versus Surgery Trial (EAST) [see comments]
  King SB, 3rd, et al.
  J Am Coll Cardiol 2000;35:1116-21
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010758949
Long-term survival is not significantly different between angioplasty and surgery, and late (three to eight year) revascularization procedures were infrequent. Patients without treated diabetes had similar survival in both groups

Serial quantitative coronary angiography and coronary events
  Mack WJ et al.
  Am Heart J 2000;139:993-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010827379
All QCA measures of progression of coronary artery disease were related to all coronary events (including revascularizations). Only QCA measures of lesion progression were related to MI/coronary death. QCA measures of lesion change may be better surrogate end points for "hard" coronary events than measures of change in coronary segments

Evolution of the volume-outcome relation for hospitals performing coronary angioplasty
  Ho V.
  Circulation 2000;101:1806-11
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010769281
Over time, the disparity in outcomes between low- and high-volume hospitals has narrowed, and outcomes have improved significantly for all hospitals. Given these improvements, lower minimum volume standards may be advisable in less populated areas, where the alternative is no angioplasty at all.

The volume of primary angioplasty procedures and survival after acute myocardial infarction. National Registry of Myocardial Infarction 2 Investigators
  Canto JG et al.
  N Engl J Med 2000;342:1573-80
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010824077
Among hospitals in the United States that have full interventional capabilities, a higher volume of angioplasty procedures is associated with a lower mortality rate among patients undergoing primary angioplasty, but there is no association between volume and mortality for thrombolytic therapy.

Diabetes mellitus and outcome after primary coronary angioplasty for acute myocardial infarction: lessons from the GUSTO-IIb Angioplasty Substudy. Global Use of Strategies to Open Occluded Arteries in Acute Coronary Syndromes [see comments]
  Hasdai D et al.
  J Am Coll Cardiol 2000;35:1502-12
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010807453

Reduction in ischemic vascular complications with a hydrophilic-coated intra-aortic balloon catheter
Winters KJ, et al.
Catheter Cardiovasc Interv 1999;46:357-62.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10348141

A randomized trial comparing the impact of a nonionic (Iomeprol) versus an ionic (Ioxaglate) low osmolar contrast medium on abrupt vessel closure and ischemic complications after coronary angioplasty
Schrader R, et al.
J Am Coll Cardiol 1999;33:395-402.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9973019

The relationship between periprocedural myocardial infarction and subsequent target vessel revascularization following percutaneous coronary revascularization: insights from the EPIC trial. Evaluation of IIb/IIIa platelet receptor antagonist 7E3 in Preventing Ischemic Complications
Narins CR, et al.
J Am Coll Cardiol 1999;33:647-53.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10080464

A prognostic computer model to individually predict post-procedural complications in interventional cardiology: the INTERVENT Project
Budde T, et al.
Eur Heart J 1999;20:354-63.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10206382

Pericardial effusion after primary percutaneous transluminal coronary angioplasty in first Q-wave acute myocardial infarction
Sugiura T, et al.
Am J Cardiol 1998;81:1090-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9605047

Usefulness of collagen plugging with VasoSeal after PTCA as compared to manual compression with identical sheath dwell times
Silber S, et al.
Cathet Cardiovasc Diagn 1998;43:421-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9554769

A randomized trial of vascular hemostasis techniques to reduce femoral vascular complications after coronary intervention
Pracyk JB, et al.
Am J Cardiol 1998;81:970-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9576155

Frequency, predictors, and appropriateness of blood transfusion after percutaneous coronary interventions
Moscucci M, et al.
Am J Cardiol 1998;81:702-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9527078

Modifiable risk factors for vascular access site complications in the IMPACT II Trial of angioplasty with versus without eptifibatide. Integrilin to Minimize Platelet Aggregation and Coronary Thrombosis
Mandak JS, et al.
J Am Coll Cardiol 1998;31:1518-24.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9626829

Comparison of ionic and nonionic low osmolar contrast media in relation to thrombotic complications of angioplasty in patients with unstable angina
Malekianpour M, et al.
Am Heart J 1998;135:1067-75.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9630113

Clinical evaluation of cholesterol embolization syndrome after cardiac catheterization
Izumi C, et al.
J Cardiol 1998;31:201-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9594368

Peripheral arterial complications after heart catheterization
Heintzen MP, et al.
Herz 1998;23:4-20.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9541843

Groin complications associated with collagen plug closure of femoral arterial puncture sites in anticoagulated patients
Carere RG, et al.
Cathet Cardiovasc Diagn 1998;43:124-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9488539

Vascular access site complications after percutaneous coronary intervention with abciximab in the Evaluation of c7E3 for the Prevention of Ischemic Complications (EPIC) trial
Blankenship JC, et al.
Am J Cardiol 1998;81:36-40.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9462603

Pharmacologic prevention of acute ischemic complications of coronary angioplasty
Wheeldon N, et al.
Cathet Cardiovasc Diagn 1997;42:249-56.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9367094

Frequency of pericardial friction rub ("pericarditis") after direct percutaneous transluminal coronary angioplasty in Q-wave acute myocardial infarction
Sugiura T, et al.
Am J Cardiol 1997;79:362-4.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9036760

Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty
Stella PR, et al.
Cathet Cardiovasc Diagn 1997;40:156-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9047055

Frequency, risk factors, and outcome for bacteremia after percutaneous transluminal coronary angioplasty
Samore MH, et al.
Am J Cardiol 1997;79:873-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9104897

Troponin T, creatine kinase MB mass, and creatine kinase MB isoform ratio in the detection of myocardial damage during non-surgical coronary revascularization
Reimers B, et al.
Int J Cardiol 1997;60:7-13.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9209933

Rapid reversal of no-reflow using Abciximab after coronary device intervention
Rawitscher D, et al.
Cathet Cardiovasc Diagn 1997;42:187-90.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9328705

Obliteration of femoral pseudoaneurysm complicating coronary intervention by direct puncture and permanent or removable coil insertion
Pan M, et al.
Am J Cardiol 1997;80:786-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9315592

Is there any association between dissection after successful percutaneous transluminal coronary angioplasty and late restenosis? An angiographic study
Ovunc K, et al.
Angiology 1997;48:111-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9040264

Subacute stent thrombosis in the era of intravascular ultrasound-guided coronary stenting without anticoagulation: frequency, predictors and clinical outcome
Moussa I, et al.
J Am Coll Cardiol 1997;29:6-12.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8996288

Risk of major complications from coronary angioplasty performed immediately after diagnostic coronary angiography: results from the Registry of the Society for Cardiac Angiography and Interventions
Kimmel SE, et al.
J Am Coll Cardiol 1997;30:193-200.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9207642

Frequency and predictors of major in-hospital ischemic complications after planned and unplanned new-device angioplasty from the New Approaches to Coronary Intervention (NACI) registry
Hong MK, et al.
Am J Cardiol 1997;80:40K-49K.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9409691

Abrupt vessel closure: changing importance, management, and consequences
Bergelson BA, et al.
Am Heart J 1997;134:362-81.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9327690

Angiographic evolution of intracoronary thrombus and dissection following percutaneous transluminal coronary angioplasty (the Thrombolysis and Angioplasty in Unstable Angina [TAUSA] trial)
Ambrose JA, et al.
Am J Cardiol 1997;79:559-63.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9068508

Clinical and angiographic implications of coronary stenting in thrombus- containing lesions
Alfonso F, et al.
J Am Coll Cardiol 1997;29:725-33.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9091516

Myocardial infarction as a complication of new interventional devices
Waksman R, et al.
Am J Cardiol 1996;78:751-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8857477

Guide wire-induced coronary artery spasm during percutaneous transluminal coronary angioplasty. A case report
Takahashi M, et al.
Angiology 1996;47:305-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8638877

Cyclic flow variations after angioplasty: a rare phenomenon predictive of immediate complications. DEBATE Investigator's Group
Sunamura M, et al.
Am Heart J 1996;131:843-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8615299

Coronary stenting after unsuccessful emergency angioplasty in acute myocardial infarction: results in a series of consecutive patients
Steffenino G, et al.
Am Heart J 1996;132:1115-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8969561

A new adjustable temporary stent catheter for management of acute dissection during balloon angioplasty
Stefanadis C, et al.
Cathet Cardiovasc Diagn 1996;37:89-98.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8770491

Successful repair of intimal dissection following coronary angioplasty with a 48-hour inflation of spiral inflation coil and local delivery of heparin
Shimabukuro M, et al.
Cathet Cardiovasc Diagn 1996;39:103-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8874959

Distal vessel pullback angiography and pressure gradient measurement: an innovative diagnostic approach to evaluate the no-reflow phenomenon
Sherman JR, et al.
Cathet Cardiovasc Diagn 1996;39:1-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8874936

Coronary stenting for aortocoronary dissection following balloon angioplasty
Seifein HB, et al.
Cathet Cardiovasc Diagn 1996;38:222-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8776535

Coronary angioplasty procedure volume and major complications
Reis GJ.
Jama 1996;275:595-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8594236

Association of heparin-resistant thrombin activity with acute ischemic complications of coronary interventions
Oltrona L, et al.
Circulation 1996;94:2064-71.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8901652

Relation between activated clotting time during angioplasty and abrupt closure
Narins CR, et al.
Circulation 1996;93:667-71.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8640994

Reduced distal embolization with transluminal extraction atherectomy compared to balloon angioplasty for saphenous vein graft disease
Misumi K, et al.
Cathet Cardiovasc Diagn 1996;39:246-51.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8933966

Economic assessment of platelet glycoprotein IIb/IIIa inhibition for prevention of ischemic complications of high-risk coronary angioplasty. EPIC Investigators
Mark DB, et al.
Circulation 1996;94:629-35.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8772681

No subacute thrombosis and femoral bleeding complications under full anticoagulation in 150 consecutive patients receiving non-heparin- coated intracoronary Palmaz-Schatz stents
Lee SW, et al.
Am Heart J 1996;132:1135-46.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8969564

Durability of emergency coronary artery bypass for complications of failed angioplasty
Ladowski JS, et al.
Cardiovasc Surg 1996;4:23-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8634841

Lysis of intravascular thrombus prior to coronary stenting using the dispatch infusion catheter
Kerensky RA, et al.
Cathet Cardiovasc Diagn 1996;38:410-4.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8853154

Embolization of a Wiktor stent within a stent: successful nonsurgical management
Kaul U, et al.
Cathet Cardiovasc Diagn 1996;38:277-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8804788

Alternation in the coronary blood flow velocity pattern in patients with no reflow and reperfused acute myocardial infarction
Iwakura K, et al.
Circulation 1996;94:1269-75.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8822979

Attenuation of the no-reflow phenomenon after coronary angioplasty for acute myocardial infarction with intracoronary papaverine
Ishihara M, et al.
Am Heart J 1996;132:959-63.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8892767

Low-normal or excessive body mass index: newly identified and powerful risk factors for death and other complications with percutaneous coronary intervention
Ellis SG, et al.
Am J Cardiol 1996;78:642-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8831397

Placement of multiple and different stent types for very long dissections during coronary angioplasty
Eeckhout E, et al.
Cathet Cardiovasc Diagn 1996;39:302-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8933979

Clinical and postmortem outcome of "no-reflow' phenomenon in a patient treated with rotational atherectomy
Bowles M, et al.
South Med J 1996;89:820-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8701386

Management of intracoronary thrombosis complicating percutaneous transluminal coronary angioplasty
Boston DR, et al.
Clin Cardiol 1996;19:536-42.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8818433

Understanding the "no-reflow" problem
Baim DS, et al.
Cathet Cardiovasc Diagn 1996;39:7-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8874937

Reduction in angioplasty complications after the introduction of coronary stents: results from a consecutive series of 2242 patients
Altmann DB, et al.
Am Heart J 1996;132:503-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8800018

Bleeding complications with new antithrombotics used in ischaemic heart disease
Adgey AA.
Haemostasis 1996;26:237-46.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8894654

Length of hospital stay and complications after percutaneous transluminal coronary angioplasty. Clinical and procedural predictors. Heparin Registry Investigators
Wolfe MW, et al.
Circulation 1995;92:311-9.
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