Peroperative coronary angioplasty. a new technical possibility
Villemot, J.P.; Houppe, J.P.; Amrein, D.; Labourel, L.; Clavey, M.; Hottier, E.; Didelot, J.P.; Mathieu, P.
Annales de Chirurgie 38(7): 509-512
1984
ISSN/ISBN: 0003-3944 PMID: 6239583 Document Number: 222158
The coronary stricture is dilated by inflating a balloon anterior to the lesion. This technique was introduced by cardiologists as a method of percutaneous transluminal coronary angioplasty. The same principle was used directly in the coronary arteries during myocardial revascularization. Patients (28) were treated with this technique, involving 37 coronary angioplasty dilatations, 64 saphenous vein grafts and 4 coronary endarteriectomies. No deaths were registered during the postoperative course; 3 cases of Prinz-metal's angina were, however, registered, and could be related to coronary spasms. The patients were followed for up to 21 mo. Four patients had a recurrence of angina. Fifteen coronary angioplasties were studies 6 mo. or more postoperatively. The results were good in 12 cases. Operative transluminal coronary angioplasty is a new technique, and should allow a more complete myocardial revascularization.