Complications 1981-2001

TCTMD - Fellows Course Slide Sets

CCT 2001 The Book
Chapter
14 Management of acute complication

Stent thrombosis in the modern era: a pooled analysis of multicenter coronary stent clinical trials
Cutlip DE, et al.
Circulation 2001;103:1967-71
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11306525
Stent thrombosis occurred in <1.0% of patients undergoing stenting of native coronary artery lesions and receiving routine antiplatelet therapy with aspirin plus ticlopidine. Procedure-related variables of persistent dissection, total stent length, and final lumen diameter were significantly associated with the probability of stent thrombosis. Continued efforts to eliminate this complication are warranted given the serious clinical consequences.

Treatment of no-reflow and impaired flow with the nitric oxide donor nitroprusside following percutaneous coronary interventions: initial human clinical experience
Hillegass WB, et al.
J Am Coll Cardiol 2001;37:1335-43
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11300444
The direct nitric oxide donor nitroprusside (doses of nitroprusside 50 to 1,000 microg were administered into the coronary artery or saphenous vein graft) is an effective, safe treatment of impaired blood flow and no-reflow associated with PTCI. The use of nitroprusside to treat syndromes secondary to microvascular dysfunction may provide a novel therapeutic strategy for treating no-reflow or impaired blood flow following percutaneous interventions.

Technical considerations when intervening with coronary device catheters in the vicinity of previously deployed stents
Grantham JA, et al.
Catheter Cardiovasc Interv 2001;52:214-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11170332 

Visualization of discrete microinfarction after percutaneous coronary intervention associated with mild creatine kinase-MB elevation 
Ricciardi MJ, et al. 
Circulation 2001;103:2780-3 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11401931 

Acute profound thrombocytopenia following angioplasty: the dilemma in the management and a review of the literature
Makoni SN.
Heart 2001;86:E18
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11711483 
Abciximab, heparin, and clopidogrel are often used together in the setting of coronary syndromes. These drugs are associated with thrombocytopenia and it is important to quickly discriminate the cause of this complication as it has implications for the management of thrombocytopenia and the coronary syndrome. This case highlights some of the dilemmas that may arise as no test can definitively identify the offending drug, and stopping these drugs can affect the outcome of the coronary event including stent thrombosis.

Temporal aspects of heparin-induced thrombocytopenia
Warkentin TE, et al.
N Engl J Med 2001;344:1286-92
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11320387
One episode of heparin-induced thrombocytopenia need not rule out the subsequent use of heparin. A simple screen for the presence of heparin-dependent antibodies may identify patients at high risk
http://www.theheart.org/index.cfm?doc_id=22917
 

Delayed-onset heparin-induced thrombocytopenia and thrombosis 
Warkentin TE, et al. 
Ann Intern Med 2001;135:502-6 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11578153 
A little heparin can be a bad thing. Heparin induced thrombocytopenia (HIT) is a rare complication of unfractionated and even more rarely of low molecular weight heparin treatment. It usually occurs between 5–8 days after starting heparin treatment, although may occur earlier if there has been previous exposure. This study of 12 patients highlights that even courses of heparin for only three days can initiate HIT and thrombosis. Presentation may be as late as three weeks after the exposure. Checking for antibodies to the platelet-factor-4/heparin complex is vital to diagnosis.

Early awareness key to successfull management of heparin-induced thrombocytopenia
Type II heparin-induced thrombocytopenia (HIT) is a serious and relatively common complication of heparin therapy.
Drug & Ther Perspect 17(14):8-12
http://cardiology.medscape.com/41190.rhtml?srcmp=card-080301

CONFERENCE REPORT
DISSEMINATED INTRAVASCULAR COAGULATION: NEW DIAGNOSTIC CRITERIA AND SUPPORTIVE TREATMENT STRATEGIES
Improving our understanding of the diagnosis and treatment of DIC.
Medscape Cardiology, 2001
http://cardiology.medscape.com/41421.rhtml?srcmp=card-081001

Comparison of incidence of cardiac rupture among patients with acute myocardial infarction treated by thrombolysis versus percutaneous transluminal coronary angioplasty
Solodky A, et al.
Am J Cardiol 2001;87:1105-8, A9
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11348612

Incidence, management, and outcome of stent loss during intracoronary stenting
Bolte J, et al.
Am J Cardiol 2001;88:565-7
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11524072  

Vascular complications after percutaneous coronary interventions following hemostasis with manual compression versus arteriotomy closure devices
Dangas G, et al.
J Am Coll Cardiol 2001;38:638-41
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11527609
In this early experience with arteriotomy closure devices after PCI, their use was associated with higher vascular complication rates than hemostasis with manual compression.

Bloodstream infections after invasive nonsurgical cardiologic procedures
Munoz P, et al.
Arch Intern Med 2001;161:2110-5
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11570940
Risk of sepsis after coronary angiography Of 22 006 invasive cardiac procedures carried out in Madrid from 1991 to 1998, 25 blood stream infections were documented within 72 hours. Overall incidence of bacteraemia was 0.11% (0.24% after percutaneous transluminal coronary angioplasty, 0.6% after diagnostic cardiac, and 0.8% after electrophysiologic studies). Bloodstream infection was detected a median of 1.7 days after the procedure, and was more common in the elderly and those with recent heart failure. The overall mortality rate was 0.009% for patients who had an invasive procedure, but was 8.0% for the 25 patients with bacteraemia


Guideline for prevention of intravascular device-related infections
 
Michele L Pearson MD
  The Hospital Infection Control Practices 
  Advisory Committee Hospital Infection Control 
  Practices Advisory Committee Membership List, April 1995
  Click here to view the full article

Left internal mammary artery graft perforation repair using polytetrafluoroethylene-covered stents
 
Albiero R || Colombo A
  Catheter Cardiovasc Interv 2000;51:78-82
 
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010973025
We describe two cases of stent implantation in newly placed LIMA grafts complicated by vessel rupture, which were successfully repaired using polytetrafluoroethylene-covered stents.

Emergency polytetrafluoroethylene-covered stent implantation to treat coronary ruptures
  Briguori C || Colombo A
  Circulation 2000;102:3028-31
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011120690
  Click here to view the full article in PDF 
This preliminary study supports the utility of the PTFE-covered stent for the nonsurgical treatment of vessel ruptures

Effectiveness and complications of vascular access closure devices after interventional procedures
  Sesana M || Colombo A
  J Invasive Cardiol 2000;12:395-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010953101
Angio-Seal and Prostar obtain a fast vascular access hemostasis after interventional procedures, with a low incidence of major vascular complications.

Successful treatment of coronary artery perforation in an abciximab- treated patient by microcoil embolization
 
Assali AR et al.
  Catheter Cardiovasc Interv 2000;51:487-9
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011108688

This article describe a case of type 2 coronary artery perforation in a 73-year- old man undergoing coronary artery rotablation and stenting with abciximab therapy. The coronary artery perforation was successfully treated by coil embolization with Trufill pushable coils made from platinum alloy and synthetic fibers to promote maximum thrombogenicity.

Ultrasound-guided thrombin injection for the treatment of postcatheterization pseudoaneurysms
  La Perna L et al. 
  Circulation 2000;102:2391-5 
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011067794 
Ultrasound- guided thrombin injection (UGTI) was safe and effective in 94% of patients with postcatheterization pseudoaneurysms. Anticoagulant use did not hinder successful thrombosis. UGTI should be the initial treatment of choice for patients with postcatheterization pseudoaneurysms.

Cardiac tamponade in the "new device" era: evaluation of 6999 consecutive percutaneous coronary interventions
 
Von Sohsten R et al.
  Am Heart J 2000;140:279-83
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010925343 
  Full Text Click here
Tamponade after percutaneous coronary intervention is not rare in the "new device" era (overall incidence 0.2%); tamponade after percutaneous coronary intervention is often delayed and may occur outside the catheterization suite; patients are more likely to be female and elderly; immediate echocardiography is an essential aid to diagnosis and prompt treatment; and the use of temporary right ventricular pacing catheters must be reexamined.

Vascular complications and clinical outcome after coronary angioplasty with platelet IIb/IIIa receptor blockade. Comparison of transradial vs transfemoral arterial access [see comments]
  Choussat R et al.
  Eur Heart J 2000;21:662-7
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010731404
Coronary angioplasty in patients treated by abciximab using the transradial approach is efficacious with fewer major access site complications than with the transfemoral approach.

Comparison of major complication rates associated with four methods of arterial closure
  Shrake KL
  Am J Cardiol 2000;85:1024-5
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010760349

The prognostic implications of further renal function deterioration within 48 h of interventional coronary procedures in patients with pre- existent chronic renal insufficiency
  Gruberg L et al. 
  J Am Coll Cardiol 2000;36:1542-8 
  http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011079656 
For patients with pre-existing renal insufficiency, renal function deterioration after coronary intervention is a marker for poor outcomes. This is especially true for patients who require dialysis.

TCT 2000 Meeting Coverage

Severe Spasm of the Free Radial Artery Graft in a Patient Undergoing High-Risk Angioplasty Under Percutaneous Cardiopulmonary Support
Ahmed JM, et al.
J Invasive Cardiol 1999;11:739-742.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10745476

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

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 Multicenter Randomized Trial Comparing a Percutaneous Collagen Hemostasis Device with Conventional Manual Compression After Diagnostic Angiography and Angioplasty
Sanborn TA, et al.
J Invasive Cardiol 1999;11 Suppl B:6B-13B.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=10745611

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 

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 

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 

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 

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 

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 

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 

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 

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 

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 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 

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 

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 

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 

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 

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 

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 

Use of a pneumatic compression system (FemoStop) as a treatment option for femoral artery pseudoaneurysms after percutaneous cardiac procedures
Dangas G, et al.
Cathet Cardiovasc Diagn 1996;39:138-42.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8922313 

'Bail out' stenting: case closed
Dean LS, et al.
Semin Interv Cardiol 1996;1:275-81.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9552522 

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 

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 

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 

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 

Closure of an iatrogenic femoral artery pseudoaneurysm by transcutaneous coil embolization
Jain SP, et al.
Cathet Cardiovasc Diagn 1996;39:317-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8933983 

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 

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 

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 

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 

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 

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 

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 

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 

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 

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 

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 

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 

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 

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Activated clotting times and activated partial thromboplastin times in patients undergoing coronary angioplasty who receive bolus doses of heparin
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Rapid thrombus dissolution by continuous infusion of urokinase through an intracoronary perfusion wire prior to and following PTCA: results in native coronaries and patent saphenous vein grafts
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Incidence and clinical significance of transient creatine kinase elevations and the diagnosis of non-Q wave myocardial infarction associated with coronary angioplasty
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Thrombotic and cardiovascular complications related to nonionic contrast media during cardiac catheterization: analysis of 8,517 patients
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Effect of pretreatment with aspirin versus aspirin plus dipyridamole on frequency and type of acute complications of percutaneous transluminal coronary angioplasty
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An alternative method for transcatheter retrieval of intracoronary angioplasty equipment fragments
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Coronary artery aneurysm formation following percutaneous transluminal coronary angioplasty: treatment of associated restenosis with repeat percutaneous transluminal coronary angioplasty
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The distinction between femoral artery pseudoaneurysms and other causes of groin masses: value of duplex Doppler sonography
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