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October 2, 2001CirculationOpen Access

Long-Term Clinical Outcomes After Unprotected Left Main Trunk Percutaneous Revascularization in 279 Patients

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Population

279 consecutive patients undergoing percutaneous coronary revascularization for unprotected left main trunk…

Design

Cohort

Follow-up

mean 19 months

Authors

WTWalter A. TanAtrium Health Wake Forest BaptistHTHideo TamaiKansai Medical UniversitySPSeung‐Jung ParkInje University

Discussion

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Implication

Risk stratification may guide unprotected left main PCI selection; leaves open need for randomized confirmation before practice change.

Structured PICO

P
Population
279 consecutive patients undergoing percutaneous coronary revascularization (PCI) for unprotected left main trunk (LMT) lesions, 46% deemed inoperable or at high surgical risk.
I
Intervention
Percutaneous coronary revascularization (PCI) of unprotected left main trunk (LMT) lesions
O
Outcome
All-cause mortality at 1 yearhard clinical

Unprotected left main PCI carries high mortality in patients with severe comorbidities, but demonstrates favorable 1-year survival in a low-risk subset.

Cite This Study

Tan et al. (2001) studied this question.

synapsesocial.com/papers/6a7cd388277f61b5c55dfe5ehttps://doi.org/10.1161/hc3901.096669
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