Abstract | OBJECTIVE: We examined the immediate and long-term outcomes after stenting of all comers for left main coronary artery (LMCA) stenoses. BACKGROUND:
Left main coronary artery disease is regarded as an absolute contraindication for coronary angioplasty. Recently, several reports on protected or unprotected LMCA stenting, or both, suggested the possibility of percutaneous intervention for this prohibited area. MATERIAL AND METHOD: RESULTS: The procedural success rate was 86.4%, with no episodes of acute thrombosis. Follow-up angiography was performed in 30 of 65 eligible patients (46.2%). Angiographic restenosis occurred in eight patients (9.9%). Cumulative death occurred in 16 patients (19.7%). MACE at 30 day and 12-month was 12.3% and 33.3% respectively. From multivariate analysis, dialysis (HR =3.22, p = 0.048), urgent PCI (HR =2.39, p = 0.036), post-procedure TIMI flow < 3 (HR =25.99, p = 0.001) and final kissing balloon inflation (HR = 0.30, p = 0.04) were independent predictors of MACE at 12-month. There was one definite late stent thrombosis (1.2%). CONCLUSION: Stenting of LMCA stenosis may be a safe and effective alternative to CABG in carefully selected patients. Further studies in larger patient populations are needed to assess late outcome.
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Authors | Damras Tresukosol, Supadet Sudjaritruk, Suwatchai Pornratanarangsi, Chunhakasem Chotinaiwattarakul, Rewat Phankingthongkum, Wiwun Tungsubutra, Nattawut Wongpraparat, Tippayawan Lerdwilai, Pradit Panchavinnin |
Journal | Journal of the Medical Association of Thailand = Chotmaihet thangphaet
(J Med Assoc Thai)
Vol. 93 Suppl 1
Pg. S21-8
(Jan 2010)
ISSN: 0125-2208 [Print] Thailand |
PMID | 20364553
(Publication Type: Journal Article)
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Chemical References |
- Platelet Aggregation Inhibitors
- Clopidogrel
- Ticlopidine
- Aspirin
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Topics |
- Aged
- Angioplasty, Balloon, Coronary
(methods)
- Aspirin
(administration & dosage)
- Clopidogrel
- Coronary Angiography
- Coronary Disease
(diagnostic imaging, epidemiology, therapy)
- Coronary Vessels
(diagnostic imaging)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Platelet Aggregation Inhibitors
(administration & dosage)
- Retrospective Studies
- Stents
- Survival
- Ticlopidine
(administration & dosage, analogs & derivatives)
- Time Factors
- Treatment Outcome
- Ultrasonography
- Ventricular Function, Left
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