We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Short- and Long-Term Outcomes of Left Main Coronary Artery Stenting in Patients Disqualified from Coronary Artery Bypass Graft Surgery.
- Authors
Skorupski, Wojciech Jan; Kałużna-Oleksy, Marta; Lesiak, Maciej; Araszkiewicz, Aleksander; Skorupski, Włodzimierz; Grajek, Stefan; Mitkowski, Przemysław; Pyda, Małgorzata; Grygier, Marek
- Abstract
The study aims to evaluate the short- and long-term outcomes of left main percutaneous coronary interventions (LM PCI) in patients disqualified from coronary artery bypass graft surgery (CABG). We included 459 patients (mean age: 68.4 ± 9.4 years, 24.4% females), with at least 1-year follow-up; 396 patients in whom PCI was offered as an alternative to CABG (Group 1); and 63 patients who were disqualified from CABG by the Heart Team (Group 2). The SYNTAX score (29.1 ± 9.5 vs. 23.2 ± 9.7; p < 0.001) and Euroscore II value (2.72 ± 2.01 vs. 2.15 ± 2.16; p = 0.007) were significantly higher and ejection fraction was significantly lower (46% vs. 51.4%; p < 0.001) in Group 2. Patients in Group 2 more often required complex stenting techniques (33.3% vs. 16.2%; p = 0.001). The procedure success rates were very high and did not differ between groups (100% vs. 99.2%; p = 0.882). We observed no difference in periprocedural complication rates (12.7% vs. 7.8%; p = 0.198), but the long-term all-cause mortality rate was higher in Group 2 (26% vs. 21%; p = 0.031). LM PCI in patients disqualified from CABG is an effective and safe procedure with a low in-hospital complication rate. Long-term results are satisfactory.
- Subjects
CORONARY artery bypass; INTERNAL thoracic artery; CORONARY arteries; SURGICAL stents; PERCUTANEOUS coronary intervention
- Publication
Journal of Personalized Medicine, 2022, Vol 12, Issue 3, p348
- ISSN
2075-4426
- Publication type
Article
- DOI
10.3390/jpm12030348