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L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes

INTRODUCTION: This study aimed to determine short and medium term outcomes in patients with unprotected left main coronary disease treated by percutaneous intervention. METHODS: We conducted a retrospective study of all patients with unprotected left main coronary artery disease treated by percutane...

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Autor principal: Kambiré, Yibar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061820/
https://www.ncbi.nlm.nih.gov/pubmed/30061966
http://dx.doi.org/10.11604/pamj.2018.29.188.9640
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author Kambiré, Yibar
author_facet Kambiré, Yibar
author_sort Kambiré, Yibar
collection PubMed
description INTRODUCTION: This study aimed to determine short and medium term outcomes in patients with unprotected left main coronary disease treated by percutaneous intervention. METHODS: We conducted a retrospective study of all patients with unprotected left main coronary artery disease treated by percutaneous intervention between January 2004 and June 2009. Clinical and angiographic data were collected from their medical records and supplemented by a telephone interview with the patients or their doctors. RESULTS: Forty eight patients with an average age of 68.50 ± 14.06 years were included in the study. Acute coronary syndromes were the primary reason for admission (75%). Patients had distal left main lesions (77.1%) and pluritroncular lesions (64.6%). Bare-metal stents were implanted in 73% of patients. After a mean follow-up of 22 months, the rate of major cardiovascular events was 35.4% (20.8% of restenosis and 14.6% of revascularizations). Hospital mortality rate was 4.2%. Predictive factors of major cardiovascular events included an EuroSCORE ≥ 10 and a history of cardiovascular disease. CONCLUSION: Angioplasty of the left main trunk is an alternative approach to emergency situations or when surgery is not indicated. Patients’ outcome is dependent on their overall risks factors before angioplasty.
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spelling pubmed-60618202018-07-30 L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes Kambiré, Yibar Pan Afr Med J Research INTRODUCTION: This study aimed to determine short and medium term outcomes in patients with unprotected left main coronary disease treated by percutaneous intervention. METHODS: We conducted a retrospective study of all patients with unprotected left main coronary artery disease treated by percutaneous intervention between January 2004 and June 2009. Clinical and angiographic data were collected from their medical records and supplemented by a telephone interview with the patients or their doctors. RESULTS: Forty eight patients with an average age of 68.50 ± 14.06 years were included in the study. Acute coronary syndromes were the primary reason for admission (75%). Patients had distal left main lesions (77.1%) and pluritroncular lesions (64.6%). Bare-metal stents were implanted in 73% of patients. After a mean follow-up of 22 months, the rate of major cardiovascular events was 35.4% (20.8% of restenosis and 14.6% of revascularizations). Hospital mortality rate was 4.2%. Predictive factors of major cardiovascular events included an EuroSCORE ≥ 10 and a history of cardiovascular disease. CONCLUSION: Angioplasty of the left main trunk is an alternative approach to emergency situations or when surgery is not indicated. Patients’ outcome is dependent on their overall risks factors before angioplasty. The African Field Epidemiology Network 2018-04-02 /pmc/articles/PMC6061820/ /pubmed/30061966 http://dx.doi.org/10.11604/pamj.2018.29.188.9640 Text en © Yibar Kambiré et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Kambiré, Yibar
L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title_full L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title_fullStr L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title_full_unstemmed L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title_short L’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
title_sort l’angioplastie du tronc commun non protégé de l’artère coronaire gauche: devenir des patients à court et moyen termes
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061820/
https://www.ncbi.nlm.nih.gov/pubmed/30061966
http://dx.doi.org/10.11604/pamj.2018.29.188.9640
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