Akademik Veri Yönetim Sistemi
Istanbul Tip Fakultesi Mecmuasi, cilt.57, sa.2, ss.63-68, 1994 (Scopus)
Despite technical advances in balloon catheter and guidewire systems and greater experience, the success rate of percutaneous transluminal coronary angioplasty (PTCA) continues to be limited by abrupt closure 3-5 % of cases, and chronic restenosis which occurs in 25-40 % of patients. The new technologies (coronary atherectomy, intracoronary stents, and laser/laser thermal techniques) have recently entered clinical testing with the goal of providing a practical and predictable solution to these difficulties. A 49-year-old man was admitted to our clinic due to acute inferior and right ventricular myocardial infarction. Reperfusion was achieved in infarct-related right coronary artery by IV streptokinase. The coronary arteriography also revealed a 80 percent luminal narrowing in the left anterior descending artery. The combined 'transluminal extraction atherectomy' and PTCA were successfully performed with reduction of the target stenosis to a residual 20 percent narrowing. The method of transluminal extraction atherectomy in coronary arteries was used only in a few patients, and we could not find any publication about it in Turkey, so we decided to report of this case.