| Five-year outcomes after stenting of unprotected left main coronary artery stenosis in patients with normal left ventricular function. | |
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MedLine Citation:
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PMID: 16904209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We analyzed the long-term (5-year) outcome of patients treated with stenting for unprotected left main coronary artery (LMCA) stenosis. METHODS: Between January 1995 and September 2001, 187 consecutive patients with unprotected LMCA stenosis and normal left ventricular function underwent elective stenting. Patients were examined or interviewed after 1, 3 and 6 months, and every 4 months thereafter for the occurrence of major adverse cardiac events (MACE), including death, myocardial infarction (MI) and target lesion revascularization (TLR). RESULTS: The procedural success rate was 99.5%. During hospitalization, there were no deaths and only one stent thrombosis. Six-month angiography in 162 patients (follow-up rate, 86.6%) showed a restenosis rate of 33.3%. During 5-year follow-up, there were 13 deaths (6 cardiac, 7 noncardiac) and 2 nonfatal MI. TLRs were required in 36 (20.9%) patients and new lesion revascularizations were required in 13 (5.0%) patients. At 1, 3 and 5 years, the cumulative probabilities for freedom from MACE were 79.9+/-1.8%, 77.5+/-2.5% and 77.5+/-2.5%, respectively. CONCLUSION: The initial favorable outcomes of patients with normal left ventricular function after stenting of unprotected LMCA stenosis were sustained for up to 5 years. |
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Authors:
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Bong-Ki Lee; Myeong-Ki Hong; Cheol Whan Lee; Bong-Ryong Choi; Mi-Jeong Kim; Kyoung-Ha Park; Young-Hak Kim; Ki-Hoon Han; Jae-Joong Kim; Seong-Wook Park; Seung-Jung Park |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2006-08-09 |
Journal Detail:
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Title: International journal of cardiology Volume: 115 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2007 Feb |
Date Detail:
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Created Date: 2007-01-29 Completed Date: 2007-04-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 208-13 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University College of Medicine, Chunchon, Kangwon-do, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary* Coronary Stenosis / therapy* Female Follow-Up Studies Humans Male Middle Aged Stents* Time Factors Treatment Outcome Ventricular Function, Left* |
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