| Percutaneous revascularization of unprotected left main: results of PCI using drug-eluting stent in ostial versus distal bifurcation disease. | |
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MedLine Citation:
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PMID: 19398419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Coronary artery bypass graft surgery is standard treatment for unprotected left main coronary artery disease. Recently, drug-eluting stents have been used to treat unprotected left main coronary artery disease. OBJECTIVE: To analyze data for consecutive patients treated at a single center with drug-eluting stents for unprotected left main coronary artery disease. RESULTS: Seventy-three patients underwent elective percutaneous coronary intervention of unprotected left main coronary artery disease. Twenty-one (30%) of the patients had disease involving the ostium or midshaft of the left main, while the remaining 52 (70%) patients had distal bifurcation disease. The group consisted of high-risk patients with an average European System for Cardiac Operative Risk Evaluation of 9% (range 0.9%-54%). After 1 year follow-up, 3 (4%) patients died; 8 patients (11%) had target vessel revascularization; 4 with repeat percutaneous coronary intervention; and 4 with coronary artery bypass graft surgery. All the events occurred in the distal bifurcation group. CONCLUSION: These results from a single-center registry suggest the safety of performing percutaneous coronary intervention with drug-eluting stents in unprotected left main coronary artery disease with low major adverse cardiac events (MACE) rates at 1 year. |
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Authors:
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Ibrahim Al Rashdan; Haitham Amin |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-04-26 |
Journal Detail:
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Title: Angiology Volume: 61 ISSN: 1940-1574 ISO Abbreviation: Angiology Publication Date: 2010 Feb-Mar |
Date Detail:
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Created Date: 2009-12-25 Completed Date: 2010-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 19-23 Citation Subset: IM |
Affiliation:
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Chest Disease Hospital, Kuwait and Faculty of Medicine, University of Kuwait, Kuwait. ialrashdan@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary* Combined Modality Therapy Coronary Artery Disease / therapy* Drug-Eluting Stents* Female Humans Male Middle Aged Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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