Document Detail


Left main intervention revisited: early and late outcome of PTCA and stenting.
MedLine Citation:
PMID:  9143762     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*
Coronary Angiography
Coronary Artery Bypass
Coronary Disease / mortality,  radiography,  therapy*
Female
Follow-Up Studies
Hospital Mortality
Humans
Male
Middle Aged
Myocardial Infarction / mortality,  radiography,  therapy*
Retrospective Studies
Shock, Cardiogenic / mortality,  radiography,  therapy*
Stents*
Survival Rate
Treatment Outcome
Comments/Corrections
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


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