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Care of the Patient and Management of Complications after Percutaneous Coronary Artery Interventions

James J. O'Meara, MD; and Gregory J. Dehmer, MD
[+] Article, Author, and Disclosure Information

From University of North Carolina, Chapel Hill, North Carolina. Acknowledgment: The authors thank Beth Ann Brubaker for editorial and secretarial assistance. Requests for Reprints: Gregory J. Dehmer, MD, Cardiac Catheterization Laboratory, UNC Hospitals, 101 Manning Drive, Chapel Hill, NC 27514. Current Author Addresses: Dr. O'Meara: Cardiology Associates of Gainesville, 1026 Southwest 2nd Avenue, Gainesville, FL 32601-8182.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1997;127(6):458-471. doi:10.7326/0003-4819-127-6-199709150-00008
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Certain aspects of patient management are common with conventional balloon angioplasty and newer coronary artery interventions.These aspects include the evaluation of chest pain or treatment of acute vessel closure shortly after the intervention, management of the vascular access site (especially if complications occur), prevention and treatment of contrast-induced renal dysfunction, and the use of anticoagulant or antiplatelet agents after the procedure. However, some aspects of management vary among techniques. Several different drug therapies are indicated after these procedures, but pharmacologic therapy for restenosis has been largely unsuccessful. Placement of an intracoronary stent decreases the frequency of restenosis and subsequent revascularization procedures, and functional testing may be of value in some patients after coronary artery interventions. It is important for the specialist in internal medicine to have a firm working knowledge of the various aspects of care that are required because their role in management is increasing.





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