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January 1, 1986Catheterization and Cardiovascular Diagnosis

The brachial artery method to transluminal internal mammary artery angioplasty

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Key result

The ipsilateral brachial artery approach permitted successful angioplasty of the internal mammary artery graft in 87.5% (7 of 8) of patients, with no clinical restenosis at a mean 7.7 months.

Why the study?

Does the brachial artery approach allow safe and successful transluminal internal mammary artery angioplasty in patients with coronary grafts?

Population

8 patients requiring angioplasty of the internal mammary artery coronary graft.

Design

Case_series

Follow-up

1-16 months (mean: 7.7 months)

Authors

GDGerald DorrosInterventional / Structural CardiologyRLRuben F. LewinDüsseldorf University Hospital

Discussion

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Implication

Should not yet change femoral-first practice for IMA graft angioplasty; leaves open comparative efficacy in larger series.

Study Design

Type

Observational (n=8)

Structured PICO

Does the brachial artery approach allow safe and successful transluminal internal mammary artery angioplasty in patients with coronary grafts?

P
Population
8 patients undergoing angioplasty of the right or left internal mammary artery coronary graft via the ipsilateral brachial artery approach, followed for a mean of 7.7 months.
E
Exposure
Transluminal internal mammary artery angioplasty utilizing the ipsilateral brachial artery approach with preformed polyurethane Teflon-lined guide catheters.
O
Outcome
Successful access and angioplasty procedure.

The ipsilateral brachial artery approach is a safe and successful alternative to the femoral technique for internal mammary artery graft angioplasty.

Cite This Study

Dorros et al. (1986) conducted an observational in Internal mammary artery coronary graft requiring angioplasty (n=8). Transluminal internal mammary artery angioplasty via the brachial artery approach was evaluated on Successful angioplasty procedure. The ipsilateral brachial artery approach permitted successful angioplasty of the internal mammary artery graft in 87.5% (7 of 8) of patients, with no clinical restenosis at a mean 7.7 months.

synapsesocial.com/papers/6aa023192308666a19be866ehttps://doi.org/10.1002/ccd.1810120514
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Percutaneous transluminal angioplasty involving internal mammary artery bypass grafts: A femoral approach1987 · 28 citations
  2. 2Percutaneous transluminal angioplasty of left internal mammary artery grafts: two years' experience with a femoral approach.1989 · 26 citations
  3. 3Percutaneous angioplasty of internal mammary artery graft stenosis: Case report and discussion1985 · 25 citations
  4. 4Balloon angioplasty of the internal mammary artery trunk for early postoperative ischemia: A case report1996 · 5 citations
  5. 5Percutaneous transluminal angioplasty of ostial lesions of internal mammary artery grafts2001 · 6 citations