Document Detail

Left main intervention revisited: early and late outcome of PTCA and stenting.
MedLine Citation:
PMID:  9143762     Owner:  NLM     Status:  MEDLINE    
We reviewed our experience with 28 unselected, consecutive patients undergoing left main coronary artery (LMCA) angioplasty who had been considered unsuitable for coronary artery bypass graft surgery (CABG). Fourteen patients (50%) had a protected LMCA circulation. Balloon angioplasty was performed in 11 patients (39.3%), and stents were implanted in 17 patients (60.7%). The procedure was elective in 22 patients (78.6%) and acute in the setting of myocardial infarction/cardiogenic shock in 6 (21.4%). The mean follow-up duration was 15.9 +/- 12 months. There were 5 early (before hospital discharge) and 4 late deaths (total 32.1%), 1 myocardial infarction (3.6%), 6 repeat angioplasties (21.4%), and 3 subsequent CABG (10.7%). All 5 early deaths occurred in patients with cardiogenic shock and unprotected circulation. The results of our study suggest that when patients have prohibitive surgical risks, elective LMCA angioplasty and/or stenting may be undertaken with a high procedural success rate. However, our data do not support intervention in the presence of acute myocardial infarction/cardiogenic shock.
A Chauhan; M Zubaid; D R Ricci; C E Buller; M D Moscovich; B Mercier; R Fox; I M Penn
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  41     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-31     Completed Date:  1997-07-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21-9     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / mortality,  radiography,  therapy*
Follow-Up Studies
Hospital Mortality
Middle Aged
Myocardial Infarction / mortality,  radiography,  therapy*
Retrospective Studies
Shock, Cardiogenic / mortality,  radiography,  therapy*
Survival Rate
Treatment Outcome
Comment In:
Cathet Cardiovasc Diagn. 1997 May;41(1):30-1   [PMID:  9143763 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Bailout coronary stenting without anticoagulation or intravascular ultrasound guidance: acute and si...
Next Document:  Exaggerated luminal loss a few minutes after successful percutaneous transluminal coronary angioplas...