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Initial coronary occlusion improves tolerance to subsequent prolonged balloon inflations

  • Jacques Heibig
  • , Roberto Bolli
  • , Scott Harris

Research output: Contribution to journalArticlepeer-review

Abstract

An acute coronary occlusion with severe ischemic signs during percutaneous transluminal coronary angioplasty was successfully treated with a long balloon inflation. Subsequent balloon inflations did not produce ischemic signs. Distal coronary occlusion pressure rose significantly during balloon inflations of more than 2 min. It is hypothesized that an initial ischemic occlusion may improve tolerance to prolonged coronary occlusions. The underlying mechanism may be that further coronary collateral circulation is recruited over time.

Original languageEnglish (US)
Pages (from-to)99-102
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume16
Issue number2
DOIs
StatePublished - Feb 1989
Externally publishedYes

Keywords

  • collateral coronary function
  • coronary occlusion
  • distal coronary hemoperfusion
  • percutaneous transluminal coronary angioplasty

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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