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Long-term results after PCI of unprotected distal left main coronary artery stenosis: the Bifurcations Bad Krozingen (BBK)-Left Main Registry

Long-term results after PCI of unprotected distal left main coronary artery stenosis: the Bifurcations Bad Krozingen (BBK)-Left Main Registry

Authors :
Nikolaus Löffelhardt
Willibald Hochholzer
Kambis Mashayekhi
Thomas Comberg
Christian M. Valina
Michael Gick
Thomas G. Nührenberg
Franz-Josef Neumann
Nadja Banholzer
Aurel Toma
Miroslaw Ferenc
Jürgen Rothe
Source :
Clinical Research in Cardiology. 108:175-184
Publication Year :
2018
Publisher :
Springer Science and Business Media LLC, 2018.

Abstract

Percutaneous coronary intervention (PCI) of unprotected distal left main stenosis (UDLM) is increasingly performed as an alternative to surgical treatment. The optimal strategy for stenting in this setting is still a matter of debate. Therefore, this analysis investigated the long-term clinical outcome of a single- versus a double-stenting strategy for treatment of UDLM. From a large registry, 867 consecutive patients with UDLM undergoing either single or double stenting with drug-eluting stents (DES) were identified. Follow-up was up to 10 (median 3.1, interquartile range 1.1–5.3) years. Primary endpoint was MACE consisting of all-cause death, myocardial infarction, or target lesion re-intervention (TLR). Secondary clinical endpoints included these single endpoints and stent thrombosis. MACE occurred in 41.5% after single and in 49.0% after double stenting (P = 0.03). TLR was lower after single (17.4%) as compared to double stenting (27.2%; P

Details

ISSN :
18610692 and 18610684
Volume :
108
Database :
OpenAIRE
Journal :
Clinical Research in Cardiology
Accession number :
edsair.doi.dedup.....02b4f8068592a58d33781e696b70559c
Full Text :
https://doi.org/10.1007/s00392-018-1337-9