Long-term follow-up of percutaneous coronary intervention of unprotected left main lesions with drug eluting stents: predictors of clinical outcome

2009 ◽  
Vol 4 (4) ◽  
pp. 457-463 ◽  
Author(s):  
Andrea Pavei ◽  
Jacopo Oreglia ◽  
Guillaume Martin ◽  
Petr Tousek ◽  
Faisal Sharif ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Clinical Outcome ◽  
Coronary Intervention ◽  
Drug Eluting Stents ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Long Term Follow Up ◽  
Drug Eluting

scholarly journals Long-Term Percutaneous Coronary Intervention Outcomes of Patients with Chronic Kidney Disease in the Era of Second-Generation Drug-Eluting Stents

2016 ◽  
Vol 7 (2) ◽  
pp. 85-95 ◽  
Author(s):  
Wojciech Wańha ◽  
Damian Kawecki ◽  
Tomasz Roleder ◽  
Aleksandra Pluta ◽  
Kamil Marcinkiewicz ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Percutaneous Coronary Intervention ◽  
Blood Transfusion ◽  
Second Generation ◽  
Coronary Intervention ◽  
Drug Eluting Stents ◽  
Percutaneous Coronary ◽  
Drug Eluting

Background: The following registry (Katowice-Zabrze retrospective registry) aimed to assess the influence of a chronic kidney disease (CKD) on long-term clinical outcomes in patients undergoing percutaneous coronary intervention (PCI) using either first-generation (DES-I) or second-generation (DES-II) drug-eluting stents. Methods: The study group consisted of 1,908 consecutive patients, of whom 331 (17.3%) had CKD. CKD was defined as an estimated glomerular filtration rate of <60 mL/min/m2. We evaluated the major adverse cardiac and cerebral events (MACCE), i.e., the composite of death, myocardial infarction (MI), stroke, and target vessel revascularization at the 12-month follow-up. Results: CKD patients had a lower left ventricular ejection fraction and more often a history of MI and PCI. Coronary angiography revealed that multivessel coronary artery disease, intracoronary thrombus, and extensive calcifications were more frequent in patients with CKD. However, the SYNTAX score did not vary between patients with or without CKD. There was a higher rate of in-hospital bleedings requiring blood transfusion in patients with CKD. At the 1-year follow-up, MACCE (17.8 vs. 12.6%, HR = 1.46 [95% CI 1.05-2.03], p = 0.009) and death (8.4 vs. 2.3%, HR = 3.9 [95% CI 2.0-7.5], p < 0.001) were more often observed in CKD patients. Multivariable Cox analysis revealed that CKD was an independent risk predictor of death after PCI at the 1-year follow-up (HR = 2.1 [95% CI 1.2-3.6], p = 0.004). In comparison to DES-I, the use of DES-II did not decrease the adverse effect of CKD on MACCE. Conclusion: CKD patients had an increased risk of in-hospital bleeding requiring blood transfusion and a higher risk of MACCE and death at the 12-month follow-up. The use of second-generation DES did not improve clinical outcomes in patients with CKD at the 12-month follow-up.

scholarly journals TCT-814 Results of left main percutaneous coronary intervention in diabetic patients at a long-term follow-up

2017 ◽  
Vol 70 (18) ◽  
pp. B331
Author(s):  
Jesus Piqueras-Flores ◽  
Ignacio Sanchez-Perez ◽  
Alfonso Jurado-Román ◽  
María Thiscal López Lluva ◽  
Natalia Pinilla-Echeverri ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Diabetic Patients ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Long Term Follow Up

scholarly journals TCT-813 Clinical results at a very long-term follow-up of percutaneous coronary intervention in bifurcated left main coronary artery

2017 ◽  
Vol 70 (18) ◽  
pp. B330-B331
Author(s):  
Ignacio Sanchez-Perez ◽  
Jesus Piqueras-Flores ◽  
Alfonso Jurado-Román ◽  
María Thiscal López Lluva ◽  
Natalia Pinilla-Echeverri ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Clinical Results ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Long Term Follow Up
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