Clinical Profile and Treatment of Left Main Coronary Artery Disease in a Real-World Practice
| Autor: | Kuznetsov Va, I. Bessonov, E A Gorbatenko, Ignatov Di, Samoĭlova Ep, Zyrianov Ip |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Bypass grafting medicine.medical_treatment Left Main Coronary Artery Stenosis Coronary Artery Disease Revascularization Russia Percutaneous Coronary Intervention Internal medicine medicine Humans cardiovascular diseases Coronary Artery Bypass Left main coronary artery disease Aged business.industry Coronary Stenosis Middle Aged Nonsurgical treatment Cerebrovascular Disorders Treatment Outcome surgical procedures operative medicine.anatomical_structure Conventional PCI Cardiology Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Kardiologiia. :55-60 |
| ISSN: | 0022-9040 |
| Popis: | Aim of this study was to assess clinical profile, treatment and long-term results in patients with left main coronary artery disease in a real-world practice. 225 cases were analyzed. Long-term results were evaluated from 213 (97.7%) patients. Median follow-up period was 49 months. Fifty two (23.9%) patients received nonsurgical treatment, coronary artery bypass grafting (CABG) was performed in 106 (48.6%) patients, percutaneous coronary interventions (PCI) in 60 (27.5%) patients. Patients of nonsurgical group had more severe clinical profile compared with PCI group. There was no differences between nonsurgical and CABG groups as well as between CABG and PCI groups in clinical profile. Major adverse cardiac and cerebrovascular event rate was higher in nonsurgical group. There was no difference between CABG and PCI groups. Survival in CABG and PCI groups was higher compared with nonsurgical group. Survival effect of revascularization was observed immediately (before 6 months) and continued long-term (more than 60 months). Revascularization was independent predictor of improved long-term survival. After diagnosis of left main coronary artery stenosis PCI was performed more quickly than CABG. |
| Databáze: | OpenAIRE |
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