| Emergent versus elective percutaneous stent implantation in the unprotected left main: long-term outcomes from a single-center registry. | |
| | |
MedLine Citation:
|
PMID: 21972154 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Unprotected left main (ULM) coronary disease is considered by contemporary guidelines a class I indication for surgery. However, percutaneous coronary intervention (PCI) is often carried out in the ULM in either emergent or high-risk elective procedures. The aim of this study was to evaluate ULM-PCI as a feasible and safe procedure in the emergent setting, and to analyze outcomes in both scenarios. METHODS: Angiographic and clinical data were collected retrospectively for all patients who underwent emergent or elective PCI on ULM at our center from January 2006 to June 2009. All patients were followed up with a clinical visit or telephone interview. Main outcomes included major adverse cardiac events (MACE) and its individual components: cardiac death, myocardial infarction (MI) and target lesion revascularization. These were analyzed at the longest follow-up available. RESULTS: A total of 98 consecutive patients with significant LM disease were included. Fifty-seven of them were treated as a planned procedure (elective group) and 41 as an emergent procedure (emergent group). Procedural success was achieved in 100% of cases in the elective group and in 88% of the emergent group (p = 0.011). Higher use of drug-eluting stents (DES) was recorded in the elective group (75% versus 45% in the emergent group; p <0.002). The emergent group presented a higher in-hospital mortality (24% versus 2% in the elective group; p <0.001). At a mean follow-up of 626 ± 380 days, the overall MACE rate was similar betweeen the two groups (23% in the emergent group versus 17% in the elective group; p = 0.52). Independent predictors of MACE after discharge follow-up were postprocedure minimal diameter and DES use. CONCLUSIONS: Emergent PCI of the ULM exhibits worse in-hospital outcomes as compared to elective procedures. However, after discharge, long-term outcomes remain comparably good between groups. |
| | |
Authors:
|
Victoria Martin-Yuste; Luis Alvarez-Contreras; Salvatore Brugaletta; Ignacio Ferreira-Gonzalez; Clarissa Cola; Joan Garcia-Picart; Vicens Martí; Manel Sabate |
Related Documents
:
|
22035624 - Psychological factors affecting the outcome of total hip and knee arthroplasty: a syste... 22051874 - Heart failure is associated with reduced patency after endovascular intervention for sy... 21719324 - Early continence in patients with localized prostate cancer. a comparison between open ... 21912924 - Adventures with carbons 11, 12, 13 and 14. 19794394 - The use of continuous renal replacement therapy in series with extracorporeal membrane ... 17036224 - Intraoperative electrostimulation objectifies the assessment of functional nerve preser... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of invasive cardiology Volume: 23 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-10-05 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 392-7 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, Clinic Thorax Institute, Hospital Clinic de Barcelona, Villaroel 170, Planta 6 Esc 3, 08036, Barcelona, Spain. masabate@clinic.ub.es. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Peritoneal carcinomatosis: imaging with 64-MDCT and 3T MRI with diffusion-weighted imaging.
Next Document: Changes in radial artery volume assessed using intravascular ultrasound: a comparison of two vasodil...