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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
- 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
- Subjects :
- Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Left Main Coronary Artery Stenosis
030204 cardiovascular system & hematology
Coronary Angiography
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
Restenosis
Risk Factors
Interquartile range
Cause of Death
Germany
Internal medicine
medicine
Humans
Registries
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Aged
Retrospective Studies
business.industry
Coronary Stenosis
Percutaneous coronary intervention
Drug-Eluting Stents
General Medicine
Prognosis
equipment and supplies
medicine.disease
Coronary Vessels
Survival Rate
Stenosis
Treatment Outcome
surgical procedures, operative
Conventional PCI
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Mace
Follow-Up Studies
Subjects
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