Yongcheol Kim, Byeong Keuk Kim, Sung Jin Hong, Jung Sun Kim, Deok Kyu Cho, Donghoon Choi, Myeong Ki Hong, Yangsoo Jang
No abstract text is available yet for this article.
August 2020: Korean Circulation Journal
Gani Bajraktari, Fjolla Zhubi-Bakija, Gjin Ndrepepa, Fernando Alfonso, Shpend Elezi, Zarife Rexhaj, Ibadete Bytyçi, Artan Bajraktari, Afrim Poniku, Michael Y Henein
BACKGROUND AND AIM: Treatment of patients with left main coronary artery disease (LMCA) with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) remains controversial. The aim of this meta-analysis was to compare the long-term clinical outcomes of patients with unprotected LMCA treated randomly by PCI or CABG. METHODS: PubMed, MEDLINE, Embase, Scopus, Google Scholar, CENTRAL and database searches identified five randomized trials (RCTs) including 4499 patients with unprotected LMCA comparing PCI ( n = 2249) vs...
July 14, 2020: Journal of Clinical Medicine
Wen-Long Xing, Hong-Xu Liu, Ai-Yong Li, Qi Zhou, Da-Wei Zhang, Chiung-Jen Wu, Wei Tian, Teng-Fei Li, Zi-Hao Liu
No abstract text is available yet for this article.
June 2020: Journal of Geriatric Cardiology: JGC
Xian-Peng Yu, Yu Li, Ji-Qiang He, Ze-Ning Jin
Objective: To evaluate a very long-term clinical outcomes of patients treated with coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) with drug-eluting stents (DES) for ostial/shaft lesions in unprotected left main coronary artery (ULMCA). Methods & Results: A total of 472 patients with isolated ostial/shaft lesions in ULMCA were enrolled, who received DES implantation or underwent CABG between January 2003 and July 2009 in Beijing Anzhen Hospital...
June 2020: Journal of Geriatric Cardiology: JGC
Miriam Compagnone, Nevio Taglieri, Mihail Celeski, Gabriele Ghetti, Cinzia Marrozzini, Maria-Letizia Bacchi Reggiani, Elena Nardi, Mateusz Orzalkiewicz, Antonio G Bruno, Nazzareno Galiè, Francesco Saia, Tullio Palmerini
This study sought to investigate the impact of elective, uncomplicated target lesion revascularization (TLR) on long-term cardiac mortality after percutaneous coronary intervention (PCI) of unprotected left main coronary artery (ULMCA) disease. Consecutive patients undergoing PCI for ULMCA disease between January 2003 and December 2015 in 1 interventional center in Northern Italy were included. Patients presenting with cardiogenic shock, ST-segment elevation myocardial infarction (MI), as well as those undergoing urgent or complicated TLR were excluded...
August 1, 2020: American Journal of Cardiology
Bojan M Stanetic, Miodrag Ostojic, Tamara Kovacevic-Preradovic, Ljiljana Kos, Kosana Stanetić, Aleksandra Nikolic, Milovan Bojic, Kurt Huber
Introduction: Results of currently available trials have shown divergent outcomes in diabetic patients undergoing percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG). Current guidelines do not recommend PCI in patients with diabetes and a SYNTAX score ≥ 23. Aim: To compare all-cause 4-year mortality after revascularization for complex coronary artery disease (CAD) in diabetics. Material and methods: The study group comprised consecutive patients with three-vessel CAD and/or unprotected left main CAD (≥ 50% diameter stenosis) without major hemodynamic instability, who were treated in two institutions with PCI or referred for CABG...
June 2020: Postępy W Kardiologii Interwencyjnej, Advances in Interventional Cardiology
Xiao-Rui Chen Md Chen, Di-Yu Cui, Yun-Qing Chen Md PhD Chen, Tie-Sheng Niu
PURPOSE: Crush and Culotte techniques have been used increasingly to treat patients with complex unprotected left main coronary artery bifurcation lesions. This article compares published data on these two techniques. METHODS: Databases, including PubMed, Embase, Cochrane Library, Wanfang Data and China National Knowledge Infrastructure, were searched for articles published before Aug 21, 2019 to identify all relevant studies on left main coronary artery bifurcation lesions treated by Crush versus Culotte techniques...
June 28, 2020: Clinical and Investigative Medicine. Médecine Clinique et Experimentale
Hirooki Higami, Mamoru Toyofuku, Takeshi Morimoto, Masanobu Ohya, Yasushi Fuku, Kyohei Yamaji, Hiromi Muranishi, Yuhei Yamaji, Koji Nishida, Daisuke Furukawa, Tomohisa Tada, Euihong Ko, Kenji Ando, Hiroki Sakamoto, Takashi Tamura, Kazuya Kawai, Kazushige Kadota, Takeshi Kimura
No abstract text is available yet for this article.
2020: Circulation Journal: Official Journal of the Japanese Circulation Society
Daniela Trabattoni, Sebastiano Gili, Giovanni Teruzzi, Pierluigi Omedè, Enrico Cerrato, Christian Templin, Davide Capodanno, Thomas Lüscher, Nicola Ryan, Giuseppe Venuti, Andrea Montabone, Wojciech Wojakowski, Andrea Rognoni, Gerard Helft, Diego Gallo, Carlo Alberto Biolè, Radoslaw Parma, Leonardo De Luca, Filippo Figini, Satoru Mitomo, Alessio Mattesini, Giacomo Boccuzzi, Giorgio Quadri, Wojciech Wańha, Grzegorz Smolka, Zenon Huczek, Alaide Chieffo, Ivan Nuñez-Gil, Umberto Morbiducci, Mario Iannaccone, Carlo di Mario, Claudio Moretti, Maurizio D'Amico, Imad Sheiban, Javier Escaned, Fabrizio D'Ascenzo
INTRODUCTION: There is a lack of data on clinical outcomes of percutaneous coronary intervention (PCI) with ultrathin stents on unprotected left main (ULM) coronary artery comparing women and men. METHODS: All patients treated with ULM-PCI with ultrathin stents (struts ≤81 μm) enrolled in the RAIN-CARDIOGROUP VII study were analyzed according to a sex-assessment evaluation. Major adverse cardiovascular event (MACE, a composite of all-cause death, myocardial infarction, target-lesion revascularization [TLR], and stent thrombosis) was the primary endpoint, whereas single components of MACE were the secondary endpoints...
June 22, 2020: Journal of Invasive Cardiology
Yu Pan, Qi Qiu, Wei-Hong Ren, Xian-Peng Yu, Ze-Sen Liu, Jian-Zeng Dong
In the above mentioned article, the first and last names of the fifth author were interchanged: Ze-sen Liu is the correct name, "Liu" being the family name and "Ze-sen" the first name.The publisher apologizes for this ….
June 17, 2020: Herz
Y Pan, Q Qiu, Y Mu, Z Wu, X P Yu, J Q He
Objective: To analyze the clinical characteristics and long-term prognosis of implantation of drug-eluting stents (DES) for elderly patients with unprotected left main artery (ULM) disease. Methods: A total of 414 patients (327 males and 87 females) who underwent DES implantation were enrolled in the Department of Cardiology, Beijing Anzhen Hospital from January 2005 to March 2010, with a mean age of (61.5±10.7) years old. The patients were divided into two groups according to age: 300 cases in the group of age <70 years old, and 114 cases in the group of age ≥70 years old...
June 9, 2020: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Luis Diaz Quintero, Eileen Gajo, Mayra Guerrero, Ted Feldman, Justin Levisay
BACKGROUND: The use of Impella® to provide hemodynamic support during unprotected left main coronary artery (LMCA) percutaneous coronary intervention (PCI) has been shown to be feasible, but severe AS is a relative contraindication for its use. Balloon aortic valvuloplasty (BAV) may facilitate the use of Impella® in these patients. OBJECTIVE: To assess the feasibility of BAV followed by Impella®-assisted LMCA PCI in patients with severe AS as bridge to TAVR. METHODS: Patients with symptomatic severe AS with LMCA stenosis ≥70% requiring PCI prior to TAVR were included...
June 3, 2020: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Xun Wang, Jiayu Zhao, Haiyan Wang, Ying Zhao, Xianghua Fu
BACKGROUND: This study aimed to compare the incidence of major adverse cardiac and cerebrovascular events (MACCE) after coronary artery bypass graft (CABG) or after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) in unprotected left main coronary artery disease (ULMCAD) patients complicated with chronic kidney disease (CKD). METHODS: Three hundred sixty-eight ULMCAD patients complicated with CKD who underwent first ever CABG (n = 207) or PCI with DES (n = 161) were recruited in this prospective cohort study...
June 12, 2020: Irish Journal of Medical Science
Tim Kinnaird, Sean Gallagher, Richard Anderson, Andrew Sharp, Vasim Farooq, Peter Ludman, Samuel Copt, Nick Curzen, Adrian Banning, Mamas Mamas
BACKGROUND: The relationship between operator volume and survival after unprotected left main stem percutaneous coronary intervention (uLMS-PCI) is poorly defined. METHODS: Data from the British Cardiovascular Intervention Society national PCI database were analyzed for all uLMS-PCI procedures performed in England and Wales between 2012 and 2014 and 4 quartiles of annualized uLMS-PCI volume (Q1-Q4) generated. Individual logistic regressions were performed for 12-month mortality to quantify the independent association between operator quartile and outcomes...
June 2020: Circulation. Cardiovascular Interventions
Federico Conrotto, Fabrizio D'Ascenzo, Francesco Piroli, Alfonso Franzé, Leonardo de Luca, Giorgio Quadri, Nicola Ryan, Javier Escaned, Mario Bo, Gaetano Maria De Ferrari
OBJECTIVE: Outcomes of complex percutaneous coronary interventions (PCIs) in older patients are still debated. The aim of the study was to evaluate clinical outcomes of Octogenarian patients treated with ultrathinstents on left main or on coronary bifurcations, compared with younger patients. METHODS: All consecutive patients presenting a critical lesion of an unprotected left main (ULM) or a bifurcation and treated with very thin stents were included in the RAIN (veRy thin stents for patients with left mAIn or bifurcatioN in real life) registry and divided into octogenarians group (OG, 551 patients) and nonoctogenarians (NOGs, 2,453 patients)...
June 1, 2020: Catheterization and Cardiovascular Interventions
Francesco Nudi, Alessandro Nudi, Giandomenico Neri, Enrica Procaccini, Orazio Schillaci, Francesco Versaci, Giacomo Frati, Giuseppe Biondi-Zoccai
BACKGROUND: The management of patients with unprotected left main (LM) coronary artery disease remains challenging, with recent data casting a shadow of doubt on the safety of percutaneous coronary intervention. We aimed at describing the features of patients undergoing myocardial perfusion imaging subsequently found to have LM disease. METHODS: We queried our institutional database for subjects without prior revascularization or myocardial infarction (MI), who had undergone MPI followed by invasive coronary angiography within 6 months, comparing those with evidence of angiographically significant LM disease (i...
May 29, 2020: Minerva Cardioangiologica
Guglielmo Gallone, Fabrizio D'Ascenzo, Federico Conrotto, Francesco Costa, Davide Capodanno, Saverio Muscoli, Alaide Chieffo, Imori Yoichi, Mauro Pennacchi, Giorgio Quadri, Ivan Nuñez-Gil, Pier Paolo Bocchino, Francesco Piroli, Ovidio De Filippo, Cristina Rolfo, Wojciech Wojakowski, Daniela Trabattoni, Zenon Huczek, Giuseppe Venuti, Andrea Montabone, Andrea Rognoni, Radoslaw Parma, Filippo Figini, Satoru Mitomo, Giacomo Boccuzzi, Alessio Mattesini, Enrico Cerrato, Wojciech Wańha, Grzegorz Smolka, Bernardo Cortese, Nicola Ryan, Mario Bo, Carlo di Mario, Ferdinando Varbella, Francesco Burzotta, Imad Sheiban, Javier Escaned, Gerard Helft, Gaetano Maria De Ferrari
BACKGROUND: The PARIS risk score (PARIS-rs) and percutaneous coronary intervention complexity (PCI-c) predict clinical and procedural residual ischemic risk following PCI. Their accuracy in patients undergoing unprotected left main (ULM) or bifurcation PCI has not been assessed. METHODS: The predictive performances of the PARIS-rs (categorized as low, intermediate, and high) and PCI-c (according to guideline-endorsed criteria) were evaluated in 3,002 patients undergoing ULM/bifurcation PCI with very thin strut stents...
May 21, 2020: Catheterization and Cardiovascular Interventions
Yu Pan, Qi Qiu, Wei-Hong Ren, Xian-Peng Yu, Liu Zesen, Jian-Zeng Dong
BACKGROUND: The optimal coronary revascularization strategy for patients with unprotected left main coronary artery (ULMCA) disease and left ventricular systolic dysfunction (LVSD) remains uncertain. The purpose of this study was to evaluate the clinical outcomes after percutaneous coronary intervention (PCI) with a drug-eluting stent (DES) versus coronary artery bypass grafting (CABG) in patients with ULMCA disease with or without LVSD. METHODS: A total of 984 patients with ULMCA disease who received a DES (n = 511) or underwent CABG (n = 473) were included in this study...
May 20, 2020: Herz
Vasileios Panoulas, María Monteagudo-Vela, Konstantinos Kalogeras, Andre Simon
BACKGROUND: Often in patients with significant three-vessel or left main disease there is coexistent significant peripheral disease rendering them poor candidates for percutaneous left ventricular support during revascularization. Evidence on the management of such cases is limited. CASE SUMMARY: We describe a case of such a patient with critical distal left main disease and chronically occluded right coronary artery who presented with chest pain and a non-ST elevation myocardial infarction and had significantly impaired left ventricular function...
April 26, 2020: World Journal of Cardiology
Saraschandra Vallabhajosyula, Malcolm R Bell
Holm NR, Mäkikallio T, Lindsay MM, et al. Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial. Lancet. 2019;395:191-9. 31879028.
May 19, 2020: Annals of Internal Medicine
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