Why the study?
Does cutting balloon angioplasty followed by stenting improve symptoms in a patient with left main stem stenosis unsuitable for CABG?
Does cutting balloon angioplasty followed by stenting improve symptoms in a patient with left main stem stenosis unsuitable for CABG?
Stenting after cutting balloon angioplasty is a feasible and effective procedure for left main stenosis in patients unsuitable for CABG.
Offers potential alternative for select inoperable left main stenosis; hypothesis-generating and should not yet change practice.
Despite major improvements in equipment and operator technique over the past two decades, percutaneous revascularization has only been used cautiously in patients with left main stem stenosis. A 73‐year‐old man presented with a history of multiple risk factors and previous cardiac surgery and was admitted with acute chest pain. Cardiac catheterization showed 80% left main stenosis, which was dilated by a cutting balloon and stented with an uneventful postprocedure course. The patient remained free of symptoms at 6‐months follow‐up. Stenting after cutting balloon angioplasty of left main stenosis is a feasible and effective procedure in patients who are unsuitable for CABG.
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Amin et al. (1998) studied this question.
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