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| IMPORTANCE
OF INTERVENTIONAL CARDIOLOGY IN TREATMENT OF MULTI-VESSEL
CORONARY DISEASE |
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E. Halilović, T. Meinertz, D. Brockhof, M. Merić and I. Terzić.
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| Department
of Physiology, Medical Faculty, University of Tuzla, Department
of Cardiology Eppendorf, University of Hamburg, Deaprtment
of Cardiology, Tuzla, Bosnia and Herzegovina, Germany |
Multi-vessel
coronary disease, particularly three-vessel one is an indication
for cardiosurgery intervention. Over few last years, improving
of catheter intervention technique and stent implantation has
significantly decreased a number of patients as candidates for
any surgery procedure. Our study included 79 patients with coronary
disease, mean age 62,5 years. All treated patients had previously
undergone some of the following interventions: PTCA in 26 (32,9%),
PTCA+stent in 18 (22,8%), stent followed by CABG in 22 (27,8%)
and CABG in 13 patients (16,5%). Mean vessel occlusion was 83,5%.
We performed PTCA+stent in 48 patients (60,8%), PTCA+laser in
4 (5,1%) nad laser in 6 patients (7,6%). Sucessful coronary vessel
recanalisation was achieved in 58 patients (73,4%) and mean degree
of remaining vessel occlusion was 38,5%. CABG was indicated in
21 (26,6%) patients.
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