Document Detail

Drug-eluting stents for left main coronary artery stenosis: case selection and technical issues.
MedLine Citation:
PMID:  18256554     Owner:  NLM     Status:  MEDLINE    
The use of coronary stents for the treatment of left main coronary artery (LMCA) stenosis is feasible and is associated with a high rate of procedural success and low rates of early and late complications, such as death, myocardial infarction, and stent thrombosis, in low-risk patient populations. Patients at high risk for coronary artery bypass grafting (CABG), however, have reduced event-free survival after stenting. Compared with bare-metal stents for LMCA disease, the subsequent rate of target lesion revascularization appears to be diminished by use of drug-eluting stents (DESs), with similar or enhanced survival and freedom from myocardial infarction. Intravascular ultrasonographic guidance during the procedure is strongly encouraged to assess the lesion, select an appropriate stenting technique, and achieve optimal stent placement. Results of prospective randomized trials comparing the use of DESs with CABG may be needed to ascertain whether DESs could be a reasonable alternative for patients with LMCA disease.
Seung-Jung Park; Duk-Woo Park
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American heart hospital journal     Volume:  6     ISSN:  1541-9215     ISO Abbreviation:  Am Heart Hosp J     Publication Date:  2008  
Date Detail:
Created Date:  2008-02-07     Completed Date:  2008-03-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156064     Medline TA:  Am Heart Hosp J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  21-9     Citation Subset:  IM    
Cardiac Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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MeSH Terms
Coronary Artery Bypass
Coronary Stenosis / surgery*
Coronary Vessels / surgery*
Drug-Eluting Stents*
Outcome Assessment (Health Care)

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