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Coronary transluminal angioplasty and determination of the intracoronary gradient with a new monorail system
Authors:A D Freitas  A Medina  A Bethencourt  I Coello  E Hernández  C Peraza  F Melian  F Jiménez  E Laraudogoitia  J Goicolea
Abstract:STUDY OBJECTIVE: To evaluate the results obtained in coronary angioplasty using the new very low profile monorail catheter. DESIGN: A retrospective study to define the causes and frequency of successful and unsuccessful coronary angioplasty on proximal and distal lesions located in the three coronary vessels. SETTING: Patients referred to the Hemodynamic Unit for coronary angioplasty. PATIENTS: Coronary angioplasty was performed in 106 patients with cardiac ischemic disease (stable angina, unstable angina and myocardial infarction after thrombolytic therapy). INTERVENTIONS: To perform coronary angioplasty using a monorail system, including dilatation of vessels (angioplasty) and to measure the intracoronary gradient. RESULTS: A high success rate was achieved (92%) independent of vessel dilated or of the position of the stenosis. There was a lower success rate in complex lesions. CONCLUSION: In this study, this newly modified system for coronary angioplasty with balloon catheter and monorail pressure catheter gave a very high performance.
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