Percutaneous coronary intervention in unprotected left main stem disease: the state of play

Curzen, Nicholas

doi:10.1136/hrt.2004.058461

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…In-hospital mortality rates up to 6% to 13% have been reported for LMCA PCI in similar high-risk patients. 6,15 Interestingly, mortality rates associated with both PCI and CABG were much lower than the Ͼ10% predicted mortality rate on the basis of the mean EuroSCORE values of the study population, probably because of the significant advances in the procedural management of high-risk coronary patients undergoing revascularization in the current era. Previous studies of PCI in octogenarians have demonstrated a higher in-hospital complication rate in these patients, including an incidence of periprocedural MI of up to 20% in the setting of acute coronary syndromes.…”

Section: Discussionmentioning

confidence: 91%

Nonrandomized Comparison of Coronary Artery Bypass Surgery and Percutaneous Coronary Intervention for the Treatment of Unprotected Left Main Coronary Artery Disease in Octogenarians

et al. 2008

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In this single-center, nonrandomized study, there were no significant differences in cardiac death or myocardial infarction and MACCE between CABG and PCI for the treatment of left main coronary artery disease in octogenarians after a mean follow-up of 2 years. Baseline EuroSCORE was the most important predictor of MACCE regardless of the type of revascularization. Randomized studies comparing both revascularization strategies in this high-risk coronary population are warranted.

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