Document Detail


Short- and long-term results of emergency and elective percutaneous interventions on left main coronary artery stenoses.
MedLine Citation:
PMID:  11979528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this prospective study, we analyzed the short- and long-term outcomes of percutaneous interventions on significant left main coronary artery (LM) stenoses. Between January 1998 and June 2000, 18 patients underwent emergency interventions on unprotected LM stenoses (group 1), while 15 patients had elective interventions on protected LM stenoses (group 2). Despite a procedural success of 88.9% in group 1, event-free in-hospital and mortality rates were 50.0% and 38.9%. After 6.4 +/- 4.4 months of follow-up, late event-free survival and mortality rates were 33.3% and 38.9%. In group 2, procedural success was 100%, with 100% event-free in-hospital survival; late event-free survival and mortality rates were 93.3% and 0% after 6.7 +/- 4.1 months of follow-up. Emergency interventions on LM stenoses remain a procedure with high acute and mid-term mortality. In spite of the high rate of major adverse cardiac events, an acceptable long-term survival can be achieved.
Authors:
Wolfgang Sperker; Mariann Gyöngyösi; Katharina Kiss; Dietmar Glogar
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  56     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-05-23     Completed Date:  2002-06-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-9     Citation Subset:  IM    
Copyright Information:
Copyright 2002 Wiley-Liss, Inc.
Affiliation:
Department of Cardiology, University of Vienna Medical Center, Vienna, Austria. a9501530@unet.univie.ac.at
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Austria
Coronary Angiography
Coronary Artery Bypass*
Coronary Stenosis / complications,  mortality,  therapy*
Creatine Kinase / blood
Creatine Kinase, MB Form
Emergency Treatment*
Female
Follow-Up Studies
Heart Catheterization*
Hemodynamics / physiology
Humans
Isoenzymes / blood
Male
Middle Aged
Postoperative Complications / etiology,  mortality
Prospective Studies
Reoperation
Shock, Cardiogenic / etiology,  mortality
Surgical Procedures, Elective*
Survival Analysis
Time Factors
Treatment Outcome
Troponin / blood
Ventricular Function, Left / physiology
Chemical
Reg. No./Substance:
0/Isoenzymes; 0/Troponin; EC 2.7.3.2/Creatine Kinase; EC 2.7.3.2/Creatine Kinase, MB Form
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2002 May;56(1):30   [PMID:  11979529 ]

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


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