Percutaneous coronary intervention and coronary artery bypass surgery in patients with trunk disease

被引：0

作者：

Lopez Ramirez, Mirtha ^{[1
]}

Nafeh Abi-Resk, Manuel ^{[1
]}

Leyva Quert, Abel ^{[1
]}

Barbeito, Tamargo ^{[1
]}

Osmin, Teddy ^{[1
]}

Garces, Hidalgo ^{[1
]}

Domitila, Ivania ^{[1
]}

Karol Ramirez, John ^{[1
]}

Lopez Ramirez, Daymir ^{[1
]}

Pena Fernandez, Noel ^{[1
]}

机构：

[1] Hosp Hermanos Ameijeiras, Havana, Cuba

来源：

REVISTA DE LA FEDERACION ARGENTINA DE CARDIOLOGIA | 2019年 / 48卷 / 03期

关键词：

Left main coronary artery disease; Myocardial revascularization surgery; Coronary artery bypass grafting; Percutaneous coronary intervention; EVEROLIMUS-ELUTING STENTS; DECISION-MAKING; FOLLOW-UP; ASSOCIATION; SURVIVAL; RISK;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

It is important to know the evolution of patients with left main coronary artery disease after a percutaneous intervention or myocardial revascularization surgery. Objective: To describe the results of myocardial revascularization and percutaneous coronary intervention in patients with left main coronary artery disease in the "Hermanos Ameijeiras" hospital. Method: A comparative longitudinal descriptive observational research was conducted with retrospective data collected with a total of 138 patients; 41 patients with left main coronary artery disease who underwent percutaneous coronary intervention in the period of time 2010-2016 and 97 treated by coronary artery bypass grafting 2012-2016, in the Cardiology and Cardiovascular Surgery service of the Cardiocentro of the Hermanos Ameijeiras Surgical Clinical Hospital. Results: Acute periprocedural myocardial infarction was more frequent in the presence of coronary artery bypass grafting (p = 0.028). Previous myocardial infarction and dyslipidemia were more frequent variables in percutaneous coronary intervention. The need for revascularization of the target vessel once a year was more frequent in patients treated by intervention (9.8%) compared to surgery (2.1%) (p = 0.043). Conclusions: The majority of patients treated with percutaneous coronary intervention presented less anatomical complexity and complications. Acute periprocedural myocardial infarction occurred more frequently in patients treated with coronary artery bypass grafting. The need for new revascularization was greater in patients treated by percutaneous intervention. There were no differences in overall survival and patients were free of adverse events according to the type of revascularization procedure.

引用

页码：113 / 118

页数：6

共 21 条

[1] Comparison of Bare-Metal Stenting With Minimally Invasive Bypass Surgery for Stenosis of the Left Anterior Descending Coronary Artery 10-Year Follow-Up of a Randomized Trial [J].

Blazek, Stephan ;

Holzhey, David ;

Jungert, Camelia ;

Borger, Michael A. ;

Fuernau, Georg ;

Desch, Steffen ;

Eitel, Ingo ;

de Waha, Suzanne ;

Lurz, Philipp ;

Schuler, Gerhard ;

Mohr, Friedrich-Wilhelm ;

Thiele, Holger .

JACC-CARDIOVASCULAR INTERVENTIONS, 2013, 6 (01) :20-26

[2] Association of LDL Cholesterol, Non-HDL Cholesterol, and Apolipoprotein B Levels With Risk of Cardiovascular Events Among Patients Treated With Statins A Meta-analysis [J].

Boekholdt, S. Matthijs ;

Arsenault, Benoit J. ;

Mora, Samia ;

Pedersen, Terje R. ;

LaRosa, John C. ;

Nestel, Paul J. ;

Simes, R. John ;

Durrington, Paul ;

Hitman, Graham A. ;

Welch, K. M. A. ;

DeMicco, David A. ;

Zwinderman, Aeilko H. ;

Clearfield, Michael B. ;

Downs, John R. ;

Tonkin, Andrew M. ;

Colhoun, Helen M. ;

Gotto, Antonio M., Jr. ;

Ridker, Paul M. ;

Kastelein, John J. P. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (12) :1302-1309

[3] Results of Percutaneous Drug-Eluting Stent Implantation for Unprotected Left Main Coronary Disease According to Left Ventricular Systolic Function [J].

Bollati, Mario ;

Gerasimou, Argyrios ;

Sillano, Dario ;

Biondi-Zoccai, Giuseppe ;

Garrone, Paolo ;

Moretti, Claudio ;

Sciuto, Filippo ;

Omede, Pierluigi ;

Trevi, Gian Paolo ;

Sheiban, Imad .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2010, 75 (04) :586-593

[4] EFFECT OF CORONARY-BYPASS SURGERY ON SURVIVAL PATTERNS IN SUBSETS OF PATIENTS WITH LEFT MAIN CORONARY-ARTERY DISEASE - REPORT OF THE COLLABORATIVE STUDY IN CORONARY-ARTERY SURGERY (CASS) [J].

CHAITMAN, BR ;

FISHER, LD ;

BOURASSA, MG ;

DAVIS, K ;

ROGERS, WJ ;

MAYNARD, C ;

TYRAS, DH ;

BERGER, RL ;

JUDKINS, MP ;

RINGQVIST, I ;

MOCK, MB ;

KILLIP, T .

AMERICAN JOURNAL OF CARDIOLOGY, 1981, 48 (04) :765-777

[5]

Diez Delhoyo F, 2016, REV ESP CARDIOL, V69, P217

[6] Changing the trajectory of ischemic heart disease in women: Role of imaging [J].

Dorbala, Sharmila ;

Shaw, Leslee J. .

JOURNAL OF NUCLEAR CARDIOLOGY, 2016, 23 (05) :973-975

[7]

Fernandez-Pereira C, 2013, REV ARGENT CARDIOANG, V4, P155

[8]

Gomez Huelgas R, 2014, MED CLIN, V143

[9]

López J, 2017, CIR CARDIOVASC, V24, P91, DOI 10.1016/j.circv.2017.01.002

[10]

Martinez Selles M, 2016, MED CLIN, V146

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