Prevalence of unfavorable angiographic characteristics for percutaneous intervention in patients with unprotected left main coronary artery disease

Objectives: The goal of this study was to determine the proportion of patients with left main coronary disease (LMCD) with unfavorable characteristics for percutaneous coronary intervention (PCI). Background: Published series suggest that LMCD can be treated percutaneously, however, the proportion o...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2006-09, Vol.68 (3), p.357-362
Main Authors: Ragosta, Michael, Dee, Sandra, Sarembock, Ian J., Lipson, Lewis C., Gimple, Lawrence W., Powers, Eric R.
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary
atherosclerosis
Blood Vessel Prosthesis Implantation
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - epidemiology
Coronary Artery Disease - pathology
Coronary Artery Disease - physiopathology
Coronary Artery Disease - therapy
coronary bypass surgery
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - mortality
Coronary Stenosis - pathology
Coronary Stenosis - physiopathology
Coronary Stenosis - therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prevalence
Risk Factors
Stents
Stroke Volume
Survival Analysis
Treatment Outcome
Virginia - epidemiology
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Summary:Objectives: The goal of this study was to determine the proportion of patients with left main coronary disease (LMCD) with unfavorable characteristics for percutaneous coronary intervention (PCI). Background: Published series suggest that LMCD can be treated percutaneously, however, the proportion of patients in whom PCI is an option based on angiographic criteria is unknown. Methods: In 13,228 consecutive coronary angiograms, 476 (3.6%) patients had ≤60% stenosis of the left main. In 232 patients with unprotected LMCD, the clinical characteristics and angiograms were reviewed with six features chosen as “unfavorable” for PCI: (1) Bifurcation LMCD, (2) occlusion of a major coronary, (3) ejection fraction
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20709