Unprotected Left Main Intervention
نویسنده
چکیده
m U b w d i ( d S d i c s i p l s ( he left main coronary artery’s critical importance o coronary circulation has focused attention on his specific anatomical subgroup for decades. In he early 1970s, coronary artery bypass graft CABG) was found to improve late survival in atients with significant left main stenosis in comarison with medical therapy (1–3). Once CABG ecame the standard of care for left main disease, a istinction between protected—by at least 1 patent ypass graft to the left coronary artery—and unrotected left main coronary arteries (UPLM)—no atent bypass graft to the left coronary artery—was
منابع مشابه
Acute and Long Term Outcomes of Coronary Intervention in Unprotected Left Main Lesions
Introduction : Significant left main coronary artery stenosis jeopardizes the entire myocardium of the left ventricle and has the worst prognosis of any form of coronary artery disease. Coronary-artery bypass grafting (CABG) has been considered as the standard therapeutic approach for such patients. There are limited data on the safety and effectiveness of percutaneous coronary intervention (PC...
متن کاملPercutaneous coronary intervention in unprotected left main coronary artery disease.
Percutaneous coronary intervention for unprotected left main coronary artery disease is potentially an important intervention in surgically unstable patients. A detailed review of medical record and visual analysis of coronary angiography and PCI procedure was undertaken. The study was conducted at the Aga Khan University Hospital, from January 2003 to December 2007. Patients included in the st...
متن کاملStenting of unprotected left main coronary artery stenosis.
Unprotected left main stenosis greater than 50% has traditionally been managed with coronary artery bypass surgery. There is now emerging evidence to support a percutaneous strategy adopting drug-eluting stents, especially in patients at high risk for surgery. This paper will review recent outcomes of both bare-metal and drug-eluting stent use for unprotected left main stenosis and summarise re...
متن کاملChange we can believe in: the hyper-evolution of percutaneous coronary intervention for unprotected left main disease with drug-eluting stents.
The initial adoption of percutaneous coronary intervention (PCI) for unprotected left main coronary artery (LMCA) obstruction was tempered by poor acute outcomes after balloon angioplasty and the potential lethality of restenosis in the left main trunk suggested by bare-metal stent registries.1 The marked antirestenotic efficacy of drug-eluting stents (DES) ushered in a new wave of enthusiasm f...
متن کامل[Percutaneous coronary intervention for left main coronary artery disease: is it time to change the guidelines?].
Coronary artery bypass surgery is the currently accepted treatment for unprotected left main coronary artery disease. Currently, the data supporting the safety and efficacy of stents for unprotected left main coronary disease are derived mostly from nonrandomized, single-center studies or registries. These results appear promising but large randomized trials are needed to guide therapy of this ...
متن کاملClinical outcomes of transradial unprotected left main coronary artery stenting in the elderly.
OBJECTIVES To evaluate the long-term results in elderly patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stents for unprotected left main coronary artery disease by transradial approach. METHODS This study took place in Qinhuangdao First Hospital, Hebei Medical University, Hebei, China between October 2006 and December 2009. Seventy-nine elderly patients with unp...
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