PMID: 9426015Jan 13, 1998Paper

Stenting of unprotected left main coronary artery stenoses: immediate and late outcomes

Journal of the American College of Cardiology
S J ParkM B Leon

Abstract

We examined the immediate and long-term outcomes after stenting of unprotected left main coronary artery (LMCA) stenoses in patients with normal left ventricular (LV) function. 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. Forty-two consecutive patients with unprotected LMCA stenoses and normal LV function were treated with stents. The post-stent antithrombotic regimens were aspirin and ticlopidine; 14 patients also received warfarin. Patients were followed very closely with monthly telephone interviews and follow-up angiography at 6 months. The procedural success rate was 100%, with no episodes of subacute thrombosis regardless of anticoagulation regimen. Six-month follow-up angiography was performed in 32 of 34 eligible patients. Angiographic restenosis occurred in seven patients (22%, 95% confidence interval 7% to 37%); five patients subsequently underwent elective coronary artery bypass graft surgery (CABG), and two patients were treated with rotational atherectomy plus adjunct balloon angioplasty. The only dea...Continue Reading

References

Aug 1, 1975·The American Journal of Cardiology·J S LimF M Sones
Jul 12, 1979·The New England Journal of Medicine·A R GrüntzigW E Siegenthaler
Jul 1, 1992·The American Journal of Cardiology·C MacayaP Zarco
Jul 15, 1991·The American Journal of Cardiology·M EldarJ Shani
Jul 15, 1989·The American Journal of Cardiology·J H O'KeefeR W Ligon
Feb 15, 1988·The American Journal of Cardiology·V S WayneA Pitt
May 9, 1988·The American Journal of Cardiology·G O HartzlerL V Giorgi
Aug 11, 1988·The New England Journal of Medicine·E Varnauskas
Nov 22, 1984·The New England Journal of Medicine·UNKNOWN Veterans Administration Coronary Artery Bypass Surgery Cooperative Study Group
Jan 1, 1982·Catheterization and Cardiovascular Diagnosis·L D FisherK B Davis
Sep 1, 1995·Journal of the American College of Cardiology·G R DussaillantM B Leon
Jan 1, 1994·Catheterization and Cardiovascular Diagnosis·S SatheP Valentine
Nov 1, 1993·Catheterization and Cardiovascular Diagnosis·J A Garcia-RoblesJ L Delcan
Dec 1, 1993·Catheterization and Cardiovascular Diagnosis·A ColomboL Finci
Jan 15, 1993·The American Journal of Cardiology·J B HermillerC J Davidson
Jan 1, 1996·Catheterization and Cardiovascular Diagnosis·R J LahamD S Baim

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Citations

May 8, 2002·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Osamu ShigemitsuEriko Iwata
May 5, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y SogaT Morimoto
Jul 27, 2001·The American Journal of Cardiology·J Suárez de LezoF Wanguemert
Sep 11, 1998·The American Journal of Cardiology·M K HongM B Leon
May 12, 2000·Journal of the American College of Cardiology·M SilvestriB Comet
May 12, 2000·Journal of the American College of Cardiology·D S Baim
Jul 13, 2001·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·A W ChanJ G Webb
Dec 15, 2005·Heart, Lung & Circulation·R A Skyrme-JonesI T Meredith
Apr 2, 2008·The New England Journal of Medicine·Ki Bae SeungSeung-Jung Park
Feb 3, 2006·The New England Journal of Medicine·Patrick W SerruysAndrew T L Ong
Sep 2, 2009·European Heart Journal·Gilles MontalescotUNKNOWN GRACE Investigators
Jan 3, 2012·European Heart Journal·Jean Fajadet, Alaide Chieffo
Nov 21, 2002·Journal of Interventional Cardiology·Jason Freeman, Lawrence Ong
Dec 21, 2005·Heart·K D DawkinsUNKNOWN Joint Working Group on Percutaneous Coronary Intervention of the British Cardiovascular Intervention Society and the British
Dec 30, 2008·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Paul BarraganThierry Lefèvre
Feb 20, 2016·JACC. Cardiovascular Interventions·Jung-Min Ahn, Seung-Jung Park
Apr 30, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wolfgang SperkerDietmar Glogar
Feb 11, 2004·The American Journal of the Medical Sciences·Keita SakuraiYasuaki Dohi
Mar 27, 2007·Current Problems in Cardiology·Ayman A El-MenyarDavid R Holmes
Jul 25, 2009·Journal of Interventional Cardiology·Craig A ThompsonUNKNOWN Dartmouth Dynamic Registry Investigators
Dec 13, 2005·Journal of Interventional Cardiology·Andrew T L Ong, Willem J van der Giessen
Sep 25, 2004·American Heart Journal·Jose Suarez de LezoJuan Herrador
Mar 10, 2004·The American Journal of Medicine·Sonia M F MesquitaAntonio Augusto Lopes
Mar 12, 1999·The American Journal of Cardiology·K KosugaH Uehata
Nov 5, 2003·American Heart Journal·Heidar ArjomandSheldon Goldberg
Nov 29, 2005·Journal of Cardiac Surgery·Salim S ViraniKushagra Katariya
Nov 17, 2006·Journal of Interventional Cardiology·Peter BarlisCarlo di Mario
Jul 26, 2014·JACC. Cardiovascular Interventions·Seung-Jung ParkYoung-Hak Kim
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marcel A M BeijkRobbert J de Winter

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