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Catheter‐based coronary bypass: A development update
Author(s) -
Oesterle Stephen N.,
Reifart Nicolaus,
Hayase Motoya,
Hauptmann Eugen,
Low Reginald,
Erbel Raimund,
Haude Michael,
Dirsch Olaf,
Schuler Gerhard C.,
Virmani Renu,
Yeung Alan C.
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10403
Subject(s) - medicine , mace , catheter , angina , percutaneous , bypass surgery , percutaneous coronary intervention , cardiology , surgery , artery , myocardial infarction
Abstract Catheter‐based coronary bypass has evolved since its origin in 1995. We present a status update of one version of catheter‐based bypass, percutaneous in situ coronary venous arterialization (PICVA), its successes and failures, and the many questions and challenges that remain. Initial clinical experience with PICVA demonstrated promising mitigation of angina in no‐option patients, but was complicated by a relatively low procedural completion rate and a high incidence of MACE. A great deal was learned in these initial cases. The system of devices is currently undergoing significant modification, and further clinical study is underway. Cathet Cardiovasc Intervent 2003;58:212–218. © 2003 Wiley‐Liss, Inc