Angioplasty: Difference between revisions
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* Angioplasty is probably better than surgery for [[renal artery stenosis]]. Surgery leads to improved patency rates at 4 years (88% versus 68%); however, angioplasty improves renal function and tends to have less mortality after 4 years (18% vs 25%).<ref name="pmid19135837">{{cite journal |author=Balzer KM, Pfeiffer T, Rossbach S, ''et al'' |title=Prospective randomized trial of operative vs interventional treatment for renal artery ostial occlusive disease (RAOOD) |journal=J. Vasc. Surg. |volume=49 |issue=3 |pages=667–74; discussion 674–5 |year=2009 |month=March |pmid=19135837 |doi=10.1016/j.jvs.2008.10.006 |url=http://linkinghub.elsevier.com/retrieve/pii/S0741-5214(08)01675-3 |issn=}}</ref> | * Angioplasty is probably better than surgery for [[renal artery stenosis]]. Surgery leads to improved patency rates at 4 years (88% versus 68%); however, angioplasty improves renal function and tends to have less mortality after 4 years (18% vs 25%).<ref name="pmid19135837">{{cite journal |author=Balzer KM, Pfeiffer T, Rossbach S, ''et al'' |title=Prospective randomized trial of operative vs interventional treatment for renal artery ostial occlusive disease (RAOOD) |journal=J. Vasc. Surg. |volume=49 |issue=3 |pages=667–74; discussion 674–5 |year=2009 |month=March |pmid=19135837 |doi=10.1016/j.jvs.2008.10.006 |url=http://linkinghub.elsevier.com/retrieve/pii/S0741-5214(08)01675-3 |issn=}}</ref> | ||
* Angioplasty is less effective than surgery for [[myocardial revascularization]] of [[coronary heart disease]]<ref name="pmid-17938385">{{cite journal |author=Bravata DM, Gienger AL, McDonald KM, ''et al'' |title=Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery |journal=Ann Intern Med |volume= |issue= |pages= |year=2007 |pmid=17938385 |doi=}}</ref>, especially for patients with diabetes who have stenosis of three [[coronary artery|coronary arteries]].<ref name="pmid8657237">{{cite journal |author= |title=Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators |journal=N. Engl. J. Med. |volume=335 |issue=4 |pages=217–25 |year=1996 |month=July |pmid=8657237 |doi= |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=8657237&promo=ONFLNS19 |issn=}}</ref> Angioplasty did not include stents in this study. | * Angioplasty is less effective than surgery for [[myocardial revascularization]] of [[coronary heart disease]]<ref name="pmid-17938385">{{cite journal |author=Bravata DM, Gienger AL, McDonald KM, ''et al'' |title=Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery |journal=Ann Intern Med |volume= |issue= |pages= |year=2007 |pmid=17938385 |doi=}}</ref>, especially for patients with diabetes who have stenosis of three [[coronary artery|coronary arteries]].<ref name="pmid8657237">{{cite journal |author= |title=Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators |journal=N. Engl. J. Med. |volume=335 |issue=4 |pages=217–25 |year=1996 |month=July |pmid=8657237 |doi= |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=8657237&promo=ONFLNS19 |issn=}}</ref> Angioplasty did not include stents in this study. | ||
* For [[carotid stenosis]], angioplasty with stents have less short term effect, but similar intermediate term effect as [[carotid endarterectomy]].<ref name="pmid20154049">{{cite journal| author=Meier P, Knapp G, Tamhane U, Chaturvedi S, Gurm HS| title=Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis: systematic review and meta-analysis of randomised controlled clinical trials. | journal=BMJ | year= 2010 | volume= 340 | issue= | pages= c467 | pmid=20154049 | |||
| url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&email=badgett@uthscdsa.edu&retmode=ref&cmd=prlinks&id=20154049 | doi=10.1136/bmj.c467 }} <!--Formatted by http://sumsearch.uthscsa.edu/cite/--></ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Revision as of 11:40, 27 February 2010
In medicine, angioplasty is "endovascular reconstruction of an artery, which may include the removal of atheromatous plaque and/or the endothelial lining as well as simple dilatation. These are procedures performed by catheterization. When reconstruction of an artery is performed surgically, it is called endarterectomy."[1]
Angioplasty may be used to treat coronary heart disease, renal artery stenosis, and carotid stenosis. Angioplasty of the heart is called percutaneous transluminal coronary angioplasty.
As compared to surgery:
- Angioplasty is probably better than surgery for renal artery stenosis. Surgery leads to improved patency rates at 4 years (88% versus 68%); however, angioplasty improves renal function and tends to have less mortality after 4 years (18% vs 25%).[2]
- Angioplasty is less effective than surgery for myocardial revascularization of coronary heart disease[3], especially for patients with diabetes who have stenosis of three coronary arteries.[4] Angioplasty did not include stents in this study.
- For carotid stenosis, angioplasty with stents have less short term effect, but similar intermediate term effect as carotid endarterectomy.[5]
References
- ↑ Anonymous (2024), Angioplasty (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Balzer KM, Pfeiffer T, Rossbach S, et al (March 2009). "Prospective randomized trial of operative vs interventional treatment for renal artery ostial occlusive disease (RAOOD)". J. Vasc. Surg. 49 (3): 667–74; discussion 674–5. DOI:10.1016/j.jvs.2008.10.006. PMID 19135837. Research Blogging.
- ↑ Bravata DM, Gienger AL, McDonald KM, et al (2007). "Systematic Review: The Comparative Effectiveness of Percutaneous Coronary Interventions and Coronary Artery Bypass Surgery". Ann Intern Med. PMID 17938385. [e]
- ↑ (July 1996) "Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease. The Bypass Angioplasty Revascularization Investigation (BARI) Investigators". N. Engl. J. Med. 335 (4): 217–25. PMID 8657237. [e]
- ↑ Meier P, Knapp G, Tamhane U, Chaturvedi S, Gurm HS (2010). "Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis: systematic review and meta-analysis of randomised controlled clinical trials.". BMJ 340: c467. DOI:10.1136/bmj.c467. PMID 20154049. Research Blogging.