Long-term Prognosis of Revascularization in Patients With Ostial/shaft Lesions of Unprotected Left Main Coronary Artery (ULMCA) / 中国循环杂志
Chinese Circulation Journal
;
(12): 869-873, 2017.
Artigo
em Chinês
| WPRIM
| ID: wpr-662503
ABSTRACT
Objective:
To compare the long-term prognosis of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in patients with ostial/shaft lesions of unprotected left main coronary artery (ULMCA).Methods:
A total of 259 patients with isolated ostial/midshaft lesions of ULMCA who received PCI or CABG in our hospital from 2003-01 to 2009-07 were enrolled.The patients were divided into 2 groupsPCI group,n=149 patients who received drug-eluting stents (DES) implantation and CABG group,n=110.The end points were all cause death,myocardial infarction (MI) and major adverse cardiac and cerebrovascular events (MACCE) which included cardiac death,non-fetal MI,stroke,repeated revascularization and the composite events death.Results:
The median follow-up period was 7.1 years (inter quartile range 5.3-8.2 years) in all patients.Before multivariate adjusting,the following parameters were similar between PCI group and CABG groupall cause death (12.7% vs 29.7%),P=-0.096;non-fatal MI (14.8% vs 8.5%),P=0.844;stroke (9.3% vs 6.3%),P=0.904;repeated revascularization (26.8% vs 19.0%),P=0.234;composite events of cardiac death/stroke/MI (18.9% vs 20.3%),P=0.224 and MACCE occurrence (37.5% vs 34.2%),P=0.946.With adjusted variations,the trend was similar to pre-adjustment.Conclusion:
During the maximum 8.2 years follow-up period,PCI and CABG had the similar efficacy and safety in patients with ostial/shaft lesions of ULMCA.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Tipo de estudo:
Estudo prognóstico
Idioma:
Chinês
Revista:
Chinese Circulation Journal
Ano de publicação:
2017
Tipo de documento:
Artigo
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