Key result
Surgical patch angioplasty for isolated ostial left main coronary artery stenosis resulted in a 30-day mortality of 1.7% and complete angiographic patency in 92.4% of cases at last follow-up.
Why the study?
Does surgical patch angioplasty provide acceptable mortality and patency outcomes in patients with isolated ostial stenosis of the left main coronary artery?
Population
478 patients with isolated ostial stenosis of the left main coronary artery (LMCA) pooled from 45 studies.
Design
Systematic_review
Follow-up
mean 54.4 months
Authors
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May support patch angioplasty as alternative to CABG in isolated ostial LMCA stenosis; leaves open need for randomized comparisons.
Systematic Review (n=478)
Does surgical patch angioplasty provide acceptable mortality and patency outcomes in patients with isolated ostial stenosis of the left main coronary artery?
Surgical patch angioplasty may be a viable alternative to CABG for isolated ostial LMCA stenosis, demonstrating low mortality and high long-term angiographic patency in observational studies.
Harling et al. (2012) conducted a systematic review in Isolated ostial stenosis of the left main coronary artery (LMCA) (n=478). Surgical patch angioplasty (SPA) was evaluated on 30-day mortality. Surgical patch angioplasty for isolated ostial left main coronary artery stenosis resulted in a 30-day mortality of 1.7% and complete angiographic patency in 92.4% of cases at last follow-up.
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