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November 1, 1987Catheterization and Cardiovascular Diagnosis

Management of coronary occlusion during angioplasty: Stabilization using a guide wire

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Why the study?

Does leaving a guide wire across the occlusion stabilize patients with acute coronary occlusion during catheterization?

Population

3 patients who developed coronary occlusion during catheterization.

Design

Case_series

Follow-up

Until transfer to the operating room

Authors

CTCarl L. TommasoRSRobert T. Singleton

Discussion

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Overview

May support temporary stabilization in select cases; hypothesis-generating and should not yet change practice.

Structured PICO

Does leaving a guide wire across the occlusion stabilize patients with acute coronary occlusion during catheterization?

P
Population
3 patients who developed coronary occlusion during catheterization (2 during percutaneous transluminal coronary angioplasty of the left anterior descending artery, 1 during diagnostic catheterization of the right coronary artery).
I
Intervention
Placement and retention of a guide wire across the coronary occlusion.
O
Outcome
Vessel patency and clinical stability (absence of chest pain or ischemia) prior to surgery.

Leaving a guide wire across an acute coronary occlusion during catheterization can maintain vessel patency and stabilize the patient for emergency surgery.

Cite This Study

Tommaso et al. (1987) studied this question.

synapsesocial.com/papers/6a20dc1bc9150832be1806afhttps://doi.org/10.1002/ccd.1810130605
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