A focused update on emerging prognostic determinants in distal left main percutaneous coronary intervention

被引：4
作者：
Capodanno, Davide [1 ,2 ]
Calvi, Valeria [1 ]
Tamburino, Corrado [1 ,2 ]
机构：
[1] Univ Catania, Dept Cardiol, Ferrarotto Hosp, I-95124 Catania, Italy
[2] ETNA Fdn, Catania, Italy
来源：
INTERNATIONAL JOURNAL OF CARDIOLOGY | 2012年 / 160卷 / 01期
关键词：
Left main; Bifurcation; Percutaneous coronary intervention; DRUG-ELUTING STENTS; ARTERY-BYPASS GRAFT; CARDIAC-SURGERY SCORE; LONG-TERM OUTCOMES; BARE-METAL STENTS; BIFURCATION LESIONS; SYNTAX SCORE; INCOMPLETE REVASCULARIZATION; MULTICENTER REGISTRY; PLAQUE DISTRIBUTION;
D O I：
10.1016/j.ijcard.2011.08.059
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A distal location of the atherosclerotic plaque is one of the most powerful predictors of adverse events after left main angioplasty. However, bifurcations are not alike and may differ with regards to a number of variables, including the angle of the bifurcation, the presence of a ramus, the burden of downstream coronary artery disease, the involvement of stemming arteries and their mismatch. For these reasons, research is seeking to identify new specific predictors that are relevant to this patient population. Simple variables, including stenting strategy, SYNTAX (SYNergy between percutaneous coronary interventions with TAXus and cardiac surgery) score, angles and plaque distribution carry a prognostic value and may be useful to drive decisions in distal left main disease. We reviewed the evidences to date that specifically address the treatment of left main bifurcations, with emphasis on emerging prognostic determinants in this challenging scenario. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：4 / 7
页数：4
相关论文
共 38 条
[1]   A collaborative systematic review and meta-analysis on 1278 patients undergoing percutaneous drug-eluting stenting for unprotected left main coronary artery disease [J].
Biondi-Zoccai, Giuseppe G. L. ;
Lotrionte, Marzia ;
Moretti, Claudio ;
Meliga, Emanuele ;
Agostoni, Pierfrancesco ;
Valgimigli, Marco ;
Migliorini, Angela ;
Antoniucci, David ;
Carri, Didier ;
Sangiorgi, Giuseppe ;
Chieffo, Alaide ;
Colombo, Antonio ;
Price, Matthew J. ;
Teirstein, Paul S. ;
Christiansen, Evald H. ;
Abbate, Antonio ;
Testa, Luca ;
Gunn, Julian P. G. ;
Burzotta, Francesco ;
Laudito, Antonio ;
Trevi, Gian Paolo ;
Sheiban, Imad .
AMERICAN HEART JOURNAL, 2008, 155 (02) :274-283
[2]   Bifurcation stenting with drug-eluting stents: a systematic review and meta-analysis of randomised trials [J].
Brar, Somjot S. ;
Gray, William A. ;
Dangas, George ;
Leon, Martin B. ;
Aharonian, Vicken J. ;
Brar, Simerjeet K. ;
Moses, Jeffrey W. .
EUROINTERVENTION, 2009, 5 (04) :475-484
[3]   Validating the EXCEL Hypothesis: A Propensity Score Matched 3-Year Comparison of Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft in Left Main Patients With SYNTAX Score ≤ 32 [J].
Capodanno, Davide ;
Caggegi, Anna ;
Capranzano, Piera ;
Cincotta, Glauco ;
Miano, Marco ;
Barrano, Gionbattista ;
Monaco, Sergio ;
Calvo, Francesco ;
Tamburino, Corrado .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 77 (07) :936-943
[4]   Global Risk Classification and Clinical SYNTAX (Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery) Score in Patients Undergoing Percutaneous or Surgical Left Main Revascularization [J].
Capodanno, Davide ;
Caggegi, Anna ;
Miano, Marco ;
Cincotta, Glauco ;
Dipasqua, Fabio ;
Giacchi, Giuseppe ;
Capranzano, Piera ;
Ussia, Gianpaolo ;
Di Salvo, Maria Elena ;
La Manna, Alessio ;
Tamburino, Corrado .
JACC-CARDIOVASCULAR INTERVENTIONS, 2011, 4 (03) :287-297
[5]   Epidemiology and clinical impact of different anatomical phenotypes of the left main coronary artery [J].
Capodanno, Davide ;
Di Salvo, Maria E. ;
Seminara, Dario ;
Caggegi, Anna ;
Barrano, Giombattista ;
Tagliareni, Francesco ;
Dipasqua, Fabio ;
Tamburino, Corrado .
HEART AND VESSELS, 2011, 26 (02) :138-144
[6]   Usefulness of the SYNTAX Score for Predicting Clinical Outcome After Percutaneous Coronary Intervention of Unprotected Left Main Coronary Artery Disease [J].
Capodanno, Davide ;
Di Salvo, Maria Elena ;
Cincotta, Glauco ;
Miano, Marco ;
Tamburino, Claudia ;
Tamburino, Corrado .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (04) :302-308
[7]   Usefulness of SYNTAX Score to Select Patients With Left Main Coronary Artery Disease to Be Treated With Coronary Artery Bypass Graft [J].
Capodanno, Davide ;
Capranzano, Piera ;
Di Salvo, Maria Elena ;
Caggegi, Anna ;
Tomasello, Davide ;
Cincotta, Glauco ;
Miano, Marco ;
Patane, Martina ;
Tamburino, Claudia ;
Tolaro, Salvatore ;
Patane, Leonardo ;
Calafiore, Antonio Maria ;
Tamburino, Corrado .
JACC-CARDIOVASCULAR INTERVENTIONS, 2009, 2 (08) :731-738
[8]   Predictive Accuracy of SYNTAX Score for Predicting Long-Term Outcomes of Unprotected Left Main Coronary Artery Revascularization [J].
Chakravarty, Tarun ;
Buch, Mamta H. ;
Naik, Hursh ;
White, Anthony J. ;
Doctor, Niraj ;
Schapira, Jay ;
Mirocha, James M. ;
Fontana, Gregory ;
Forrester, James S. ;
Makkar, Raj .
AMERICAN JOURNAL OF CARDIOLOGY, 2011, 107 (03) :360-366
[9]   Favorable long-term outcome after drug-eluting stent implantation in nonbifurcation lesions that involve unprotected left main coronary artery - A multicenter registry [J].
Chieffo, Alaide ;
Park, Seung J. ;
Valgimigli, Marco ;
Kim, Young H. ;
Daemen, Joost ;
Sheiban, Imad ;
Truffa, Alessandra ;
Montorfano, Matteo ;
Airoldi, Flavio ;
Sangiorgi, Giuseppe ;
Carlino, Mauro ;
Michev, Iassen ;
Lee, Cheol W. ;
Hong, Myeong K. ;
Park, Seong W. ;
Moretti, Claudio ;
Bonizzoni, Erminio ;
Rogacka, Renata ;
Serruys, Patrick W. ;
Colombo, Antonio .
CIRCULATION, 2007, 116 (02) :158-162
[10]   3-Dimensional Bifurcation Angle Analysis in Patients With Left Main Disease A Substudy of the SYNTAX Trial (SYNergy Between Percutaneous Coronary Intervention With TAXus and Cardiac Surgery) [J].
Girasis, Chrysafios ;
Serruys, Patrick W. ;
Onuma, Yoshinobu ;
Colombo, Antonio ;
Holmes, David R., Jr. ;
Feldman, Ted E. ;
Bass, Eric J. ;
Leadley, Katrin ;
Dawkins, Keith D. ;
Morice, Marie-Claude .
JACC-CARDIOVASCULAR INTERVENTIONS, 2010, 3 (01) :41-48
1234