Three-Year Major Clinical Outcomes of Angiography-Guided Single Stenting Technique in Non-Complex Left Main Coronary Artery Diseases
| Autor: | Cheol Ung Choi, Sunki Lee, Yong Hoon Kim, Woohyeun Kim, Eung Ju Kim, Byoung Geol Choi, Sung Hun Park, Seung-Woon Rha, Chang Gyu Park, Ae Young Her, Seyeon Choi, Minsuk Shim, Eun Jin Park, Hong Seog Seo, Jun Hyuk Kang, Hu Li, Jae Kyeong Byun, Jin Oh Na, Dong Joo Oh, Jah Yeon Choi, Hong Euy Lim |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Long Term Adverse Effects Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography Revascularization Severity of Illness Index 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Internal medicine Republic of Korea Intravascular ultrasound medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Ultrasonography Interventional Aged medicine.diagnostic_test business.industry Percutaneous coronary intervention Stent Drug-Eluting Stents General Medicine Middle Aged medicine.disease Coronary Vessels Survival Analysis surgical procedures operative Surgery Computer-Assisted Angiography Conventional PCI Cardiology Female Cardiology and Cardiovascular Medicine business Mace Follow-Up Studies |
| Zdroj: | International Heart Journal. 58:704-713 |
| ISSN: | 1349-3299 1349-2365 |
| DOI: | 10.1536/ihj.17-115 |
| Popis: | There is limited long-term comparative clinical outcome data concerning angiography- versus intravascular ultrasound (IVUS)-guided percutaneous coronary intervention (PCI) in non-complex left main coronary artery (LMCA) disease treated with the single stenting technique in the drug-eluting stent (DES) era.The aim of this study was to investigate whether angiography-guided stenting is comparable to IVUS-guided stenting during 3-year clinical follow-up periods in patients with non-complex LM disease treated with the single stenting technique.A total of 196 patients treated with either angiography-guided (n = 74) or IVUS-guided (n = 122) PCI were included. The primary outcome was the occurrence of major adverse cardiac events (MACE) defined as total death, non-fatal myocardial infarction (MI), target lesion revascularization (TLR), target vessel revascularization (TVR), and non-target vessel revascularization (Non-TVR). To adjust for any potential confounders, propensity score (PS) adjusted analysis was performed.During 3-year follow-up, the PS adjusted Cox-proportional hazard ratio (HR) was not significantly different between the two groups for total death, cardiac death, and MI. Also, TLR and the combined rates of TVR and non-TVR were not significantly different. Finally, MACE was not significantly different between the two groups (HR: 0.63, 95% Confidence interval (CI): 0.33-1.17; P = 0.149).Angiography-guided PCI for non-complex LMCA diseases treated with the single stenting technique showed comparable results compared with IVUS-guided PCI in reducing clinical events during 3-year clinical follow-up in the DES era. Although IVUS guided PCI is the ideal strategy, angiography-guided PCI can be an option for LMCA PCI in some selected cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|