Surgical Candidacy and Selection Biases in Nonemergent Left Main Stenting
نویسندگان
چکیده
منابع مشابه
Left main stenting.
For several decades, based on clinical trials comparing coronary-artery bypass grafting (CABG) with medical therapy, bypass surgery has been regarded as the treatment of choice for patients with unprotected left main coronary artery (LMCA) disease. However, because of marked advancements in the techniques of percutaneous coronary intervention (PCI) with stenting and CABG and adjunctive pharmaco...
متن کاملUnprotected left main coronary artery stenting: correlates of midterm survival and impact of patient selection.
BACKGROUND The study served to present the in-hospital and six-month clinical outcome and also the long-term survival data of a consecutive series of patients undergoing stenting for unprotected left main coronary artery (LMCA) disease. METHODS Revascularization with coronary bypass surgery has been generally recommended for treatment of left main coronary stenosis. Improvements in angioplast...
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We describe 2 patients with Takayasu's arteritis and left main coronary stenosis who were considered poor candidates for surgical revascularization. Elective left main coronary artery balloon angioplasty followed by endoluminal stenting was performed with excellent results. At 3-mo follow-up, one patient had evidence of in-stent restenosis, but the other remained asymptomatic. In selected patie...
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An 83-year-old man with hypertension, bilateral carotid disease, porcelain aorta and moderate renal failure was admitted with non-ST-elevation myocardial infarction. Coronary angiography revealed three-vessel disease with distal left main (LM) bifurcation involving the ostia of both the left anterior descending (LAD) and the left circumflex (LCx) coronary arteries (Medina 0,1,1; SYNTAX score 23...
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Coronary stenting has become the dominant therapy for patients referred for coronary revascularization. Because of their documented efficacy in reducing instent restenosis (ISR),1–3 drug-eluting stents (DES) are used for this purpose in most percutaneous revascularization procedures. Although intended primarily for use in native, de novo stenoses in coronary vessels 2.5 to 3.5 mm in diameter, D...
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ژورنال
عنوان ژورنال: JACC: Cardiovascular Interventions
سال: 2011
ISSN: 1936-8798
DOI: 10.1016/j.jcin.2011.06.010