PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY AND RETRANSPLANTATION DUE TO TRANSPLANT CORONARY-ARTERY DISEASE

Citation
Ae. Fiane et al., PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY AND RETRANSPLANTATION DUE TO TRANSPLANT CORONARY-ARTERY DISEASE, SC CARDIOVA, 31(4), 1997, pp. 223-227
Citations number
23
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
SCANDINAVIAN CARDIOVASCULAR JOURNAL
ISSN journal
14017431 → ACNP
Volume
31
Issue
4
Year of publication
1997
Pages
223 - 227
Database
ISI
SICI code
Abstract
Allograft vascular disease is a significant cause of death of cardiac transplant recipients after the first year of transplantation. With fe w exceptions, angina pectoris does not develop and objective examinati ons, including coronary angiography, are necessary to diagnose coronar y arteriopathy. Between 1983 and 1994, 214 heart transplantations in 2 11 patients were performed in our unit. All survivors had coronary ang iography performed yearly. Thirty patients had significant localized a rterial stenoses. Twelve patients with critical stenosis were accepted for percutaneous transluminal coronary angioplasty. Five patients und erwent retransplantation due to progressive graft vascular disease wit h development of congestive heart failure. Conventional revascularizat ion with transluminal coronary angioplasty can safely be performed wit h primary good results. In selected patients, retransplantation is an option if patients otherwise fulfil standard criteria for cardiac tran splantation.