Five-year outcome of consecutive unprotected left main percutaneous coronary interventions

Piroth, Z ✉ [Piróth, Zsolt (kardiológia), author] Gottsegen György Országos Kardiológiai Intézet; Ferenci, T [Ferenci, Tamás (Biostatisztika), author]; Fontos, G; Szonyi, T; Nemeth, J; Szoke, S; Chaurasia, AK; Andreka, P [Andréka, Péter (kardiológia), author]

English Article (Journal Article) Scientific
Published: ACTA CARDIOLOGICA 0001-5385 1784-973X 71 (6) pp. 654-662 2016
  • SJR Scopus - Cardiology and Cardiovascular Medicine: Q3
  • Other medical sciences
  • Clinical medicine
Objectives We aimed to describe the procedural characteristics and 5-year outcome of consecutive patients undergoing unprotected left main coronary artery (ULMCA) percutaneous coronary intervention (PCI) at our tertiary care centre between 1 January 2007 and 31 December 2008. Methods and results 76 patients underwent ULMCA PCI during the study period. Drug-eluting stents were used in 61. The mean EuroSCORE II, additive and logistic EuroSCOREs and SYNTAX score were 14.81, 10.2, 25.25 and 27.3, respectively. 30-day and 5-year mortality were 14.5% and 50%, respectively, with early mortality related exclusively to circulatory causes and late mortality being non-cardiac in 74%. Clinical presentation was a key determinant of 5-year mortality. During follow-up 1 patient suffered a non-fatal myocardial infarction (MI) related to ULMCA in-stent restenosis (ISR), 2 others suffered MI related to non-ULMCA lesions. Definite and probable stent thrombosis occurred in 1 (non-ULMCA stent) and 1, respectively. 3 patients had ULMCA ISR, 14 had non-ULMCA ISR necessitating redo revascularisation. Conclusions ULMCA PCI is a good treatment modality in patients who cannot undergo CABG. Clinical presentation and downstream disease have a major influence on the 5-year outcome. © 2016, Acta Cardiologica. All rights reserved.
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2024-02-21 17:23