Emergency Intervention for Left Main Coronary Artery

被引：0

作者：

Karaaslan, Ozge Cakmak ^{[1
]}

Topal, Salih ^{[1
]}

Sezenoz, Burak ^{[1
]}

Yalcin, Ridvan ^{[1
]}

机构：

[1] Gazi Univ, Tip Fak, Kardiyoloji Ana Bilim Dali, Ankara, Turkey

来源：

GAZI MEDICAL JOURNAL | 2019年 / 30卷 / 02期

关键词：

Left main coronary lesion; Percutaneous Coronary Intervention; Emergency Revascularization; ELUTING STENTS; BYPASS-SURGERY; DISEASE; STENOSIS; SYNERGY; TAXUS;

D O I：

10.12996/gmj.2019.47

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

While the primary treatment for left main coronary artery(LMCA) lesions is considered as a by-pass surgery, recent studies indicate that percutaneous coronary intervention (PCI) may be an alternative. [1, 2] A 47-year-old male patient was admitted to our center with complaints of shortness of breath and syncope. KAG; In the left main coronary artery ostium, a 95% stenosis with a thrombus was observed. The patient was decided to undergo emergency coronary by-pass surgery, at that time developed cardiac arrest, was taken to the catheter laboratory under cardiopulmonary resuscitation (CPR). A stent was inserted into the LMCA. As in the present case, emergency percutaneous coronary intervention may be considered as the primary treatment option in patients who develop cardiac arrest or cardiogenic shock as fast as possible and shorten the duration of ischemia.

引用

页码：195 / 196

页数：2

共 9 条

[1] Cost-Effectiveness of Percutaneous Coronary Intervention With Drug-Eluting Stents Versus Bypass Surgery for Patients With 3-Vessel or Left Main Coronary Artery Disease Final Results From the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) Trial
Cohen, David J.
Osnabrugge, Ruben L.
Magnuson, Elizabeth A.
Wang, Kaijun
Li, Haiyan
Chinnakondepalli, Khaja
Pinto, Duane
Abdallah, Mouin S.
Vilain, Katherine A.
Morice, Marie-Claude
Dawkins, Keith D.
Kappetein, A. Pieter
Mohr, Friedrich W.
Serruys, Patrick W.
[J]. CIRCULATION, 2014, 130 (14) : 1146 - 1157
[2] Long-term outcomes of coronary artery bypass grafting versus stent-PCI for unprotected left main disease: a meta-analysis
De Rosa, Salvatore
Polimeni, Alberto
Sabatino, Jolanda
Indolfi, Ciro
[J]. BMC CARDIOVASCULAR DISORDERS, 2017, 17
[3] Percutaneous Coronary Intervention vs Coronary Artery Bypass Grafting in Patients With Left Main Coronary Artery Stenosis A Systematic Review and Meta-analysis
Giacoppo, Daniele
Colleran, Roisin
Cassese, Salvatore
Frangieh, Antonio H.
Wiebe, Jens
Joner, Michael
Schunkert, Heribert
Kastrati, Adnan
Byrne, Robert A.
[J]. JAMA CARDIOLOGY, 2017, 2 (10) : 1079 - 1088
[4] Mortality after coronary artery bypass grafting versus percutaneous coronary intervention with stenting for coronary artery disease: a pooled analysis of individual patient data
Head, Stuart J.
Milojevic, Milan
Daemen, Joost
Ahn, Jung-Min
Boersma, Eric
Christiansen, Evald H.
Domanski, Michael J.
Farkouh, Michael E.
Flather, Marcus
Fuster, Valentin
Hlatky, Mark A.
Holm, Niels R.
Hueb, Whady A.
Kamalesh, Masoor
Kim, Young-Hak
Makikallio, Timo
Mohr, Friedrich W.
Papageorgiou, Grigorios
Park, Seung-Jung
Rodriguez, Alfredo E.
Sabik, Joseph F., III
Stables, Rodney H.
Stone, Gregg W.
Serruys, Patrick W.
Kappetein, Arie Pieter
[J]. LANCET, 2018, 391 (10124) : 939 - 948
[5] Increasing burden of cardiovascular disease - Current knowledge and future directions for research on risk factors
Hennekens, CH
[J]. CIRCULATION, 1998, 97 (11) : 1095 - 1102
[6] Thoracic and lumbar paravertebral blocks for outpatient lithotripsy
Jamieson, Brian D.
Mariano, Edward R.
[J]. JOURNAL OF CLINICAL ANESTHESIA, 2007, 19 (02) : 149 - 151
[7] Percutaneous coronary angioplasty versus coronary artery bypass grafting in treatment of unprotected left main stenosis (NOBLE): a prospective, randomised, open-label, non-inferiority trial
Makikallio, Timo
Holm, Niels R.
Lindsay, Mitchell
Spence, Mark S.
Erglis, Andrejs
Menown, Ian B. A.
Trovik, Thor
Eskola, Markku
Romppanen, Hannu
Kellerth, Thomas
Ravkilde, Jan
Jensen, Lisette O.
Kalinauskas, Gintaras
Linder, Rikard B. A.
Pentikainen, Markku
Hervold, Anders
Banning, Adrian
Zaman, Azfar
Cotton, Jamen
Eriksen, Erlend
Margus, Sulev
Sorensen, Henrik T.
Nielsen, Per H.
Niemela, Matti
Kervinen, Kari
Lassen, Jens F.
Maeng, Michael
Oldroyd, Keith
Berg, Geoff
Walsh, Simon J.
Hanratty, Colm G.
Kumsars, Indulis
Stradins, Peteris
Steigen, Terje K.
Frobert, Ole
Graham, Alastair N. J.
Endresen, Petter C.
Corbascio, Matthias
Kajander, Olli
Trivedi, Uday
Hartikainen, Juha
Anttila, Vesa
Hildick-Smith, David
Thuesen, Leif
Christiansen, Evald H.
[J]. LANCET, 2016, 388 (10061) : 2743 - 2752
[8] Outcomes in Patients With De Novo Left Main Disease Treated With Either Percutaneous Coronary Intervention Using Paclitaxel-Eluting Stents or Coronary Artery Bypass Graft Treatment in the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) Trial
Morice, Marie-Claude
Serruys, Patrick W.
Kappetein, A. Pieter
Feldman, Ted E.
Stahle, Elisabeth
Colombo, Antonio
Mack, Michael J.
Holmes, David R.
Torracca, Lucia
van Es, Gerrit-Anne
Leadley, Katrin
Dawkins, Keith D.
Mohr, Friedrich
[J]. CIRCULATION, 2010, 121 (24) : 2645 - 2653
[9] Everolimus-Eluting Stents or Bypass Surgery for Left Main Coronary Artery Disease
Stone, G. W.
Sabik, J. F.
Serruys, P. W.
Simonton, C. A.
Genereux, P.
Puskas, J.
Kandzari, D. E.
Morice, M. -C.
Lembo, N.
Brown, W. M., III
Taggart, D. P.
Banning, A.
Merkely, B.
Horkay, F.
Boonstra, P. W.
van Boven, A. J.
Ungi, I.
Bogats, G.
Mansour, S.
Noiseux, N.
Sabate, M.
Pomar, J.
Hickey, M.
Gershlick, A.
Buszman, P.
Bochenek, A.
Schampaert, E.
Page, P.
Dressler, O.
Kosmidou, I.
Mehran, R.
Pocock, S. J.
Kappetein, A. P.
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2016, 375 (23) : 2223 - 2235

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