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European Heart Journal 1995 16(Supplement L):97-103; doi:10.1093/eurheartj/16.suppl_L.97
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Scociety of Cardiology

Coronary intervention: Risk stratification and management of abrupt coronary occlusion

P. J. De Feyter and P. N. Ruygrok

Thoraxcenter, Erasmus University Rotterdam The Netherlands

Correspondence: P. J. de Feyter, MD, Catheterization Laboratory, Thoraxcenter Bd 416, University Hospital Dijkzigt, Erasmus University Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Balloon angioplasty is associated with an often unpredictable risk of abrupt coronary occlusion, which is the leading cause of in-hospital death and myocardial infarction. Clinical, angiographic and lesion variables predictive of risk of abrupt occlusion are reviewed and a low, medium and high risk profile stratification is developed. Current management of abrupt occlusion is discussed.

Key Words: Balloon angioplasty • unstable angina


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