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February 1, 1999Catheterization and Cardiovascular Interventions

A prospective study of elective stenting in unprotected left main coronary disease

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Why the study?

Does elective stenting provide safe and effective immediate and long-term results in patients with unprotected left main coronary artery disease?

Population

55 patients with unprotected left main coronary artery disease

Design

Cohort

Follow-up

mean 16.1+/-9.6 months

Authors

PWPhilip WongQueen Mary University of LondonVWVanessa WongWalter and Eliza Hall Institute of Medical ResearchKTKin-Kee TseChinese University of Hong Kong

Discussion

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Implication

Supports feasibility of elective stenting for unprotected left main disease; leaves open durability versus alternatives in randomized trials.

Structured PICO

Does elective stenting provide safe and effective immediate and long-term results in patients with unprotected left main coronary artery disease?

P
Population
55 patients with unprotected left main coronary artery (LMCA) disease (from an initial cohort of 61 consecutive patients, 6 excluded)
I
Intervention
Elective stenting
O
Outcome
Immediate and long-term results (acute procedural success, complications including stent thrombosis, myocardial infarction, CABG, or death, and symptomatic recurrence)hard clinical

Elective stenting for unprotected left main coronary artery disease is feasible with high acute procedural success, though symptomatic recurrence occurs in 20% of patients at 16 months.

Cite This Study

Wong et al. (1999) studied this question.

synapsesocial.com/papers/6a7fb4f6fcb7d43d28406be1https://doi.org/10.1002/(sici)1522-726x(199902)46:2<153::aid-ccd8>3.0.co;2-7
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Main left coronary artery disease. Clinical experience from 1964-1974.1975 · 258 citations
  2. 2Clinical experience with the Palmaz-Schatz coronary stent. Initial results of a multicenter study.1991 · 607 citations
  3. 3Twelve-Year Follow-up of Survival in the Randomized European Coronary Surgery Study1988 · 693 citations
  4. 4Elective stenting of unprotected left main coronary disease1996 · 5 citations
  5. 5Treatment of unprotected left main stenoses with Palmaz-Schatz stenting1996 · 33 citations