Surgical standby for coronary balloon angioplasty

Article Abstract:

Performing coronary balloon angioplasty without an emergency surgery team backup does not increase patient risk in roughly 80% of cases. Of 1,000 patients undergoing angioplasty for coronary artery disease, 189 had a surgical backup and 811 did not. The patients with a surgical backup were less likely to have arteries that were completely blocked or an adequate collateral system of blood vessels. When patients with complete blockage were excluded, there was no difference in the success rates between the two groups. Only one patient in each group had to have emergency bypass surgery. All eight deaths occurred in the group without a surgical backup, but none of these deaths would have been prevented if the surgical team had been present. Coronary balloon angioplasty performed without a surgical backup, though not the preferred choice, is more economical and reduces the size of the waiting list for the procedure.

Planning, Complications and side effects, Surgery, Transluminal angioplasty, Balloon angioplasty, Surgical emergencies

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Pneumatic dilatation and surgical myotomy for achalasia

Article Abstract:

A retrospective longitudinal study is conducted to compare the outcomes of pneumatic dilatation and surgical myotomy for achalasia. The results indicate that, although the risk of subsequent interventions among persons treated with surgical myotomy in typical practice settings is high, the risk of subsequent intervention is higher among persons treated with pneumatic dilatation than with surgical myotomy, which is attributed to the use of subsequent pneumatic dilatation rather than surgical procedures.

United States, Health aspects, Care and treatment, Methods, Risk factors, Folk medicine, Traditional medicine, Achalasia, Medicine, Primitive, Clinical report

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