Impact of 3-dimensional bifurcation angle on 5-year outcome of patients after percutaneous coronary intervention for left main coronary artery disease: a substudy of the SYNTAX trial (synergy between percutaneous coronary intervention with taxus and cardiac surgery).
作者： Chrysafios Girasis , Vasim Farooq , Roberto Diletti , Takashi Muramatsu , Christos V. Bourantas
DOI: 10.1016/J.JCIN.2013.08.009
关键词: Internal medicine 、 Cardiac surgery 、 Myocardial infarction 、 Artery 、 Percutaneous coronary intervention 、 Medicine 、 Stent 、 Cardiology 、 Surgery 、 Diastole 、 Conventional PCI 、 Circumflex
摘要: Objectives This study sought to investigate the impact of left main coronary artery (LMCA) 3-dimensional (3D) bifurcation angle (BA) parameters on 5-year clinical outcomes patients randomized LMCA percutaneous intervention (PCI) in SYNTAX (Synergy Between Percutaneous Coronary Intervention With Taxus and Cardiac Surgery) trial. Background BA can affect outcome after PCI; 3D angiographic analysis provides reliable measurements. Methods The diastolic distal (between anterior descending circumflex) its systolic-diastolic range were explored. A stratified post-hoc survival was performed for major adverse cardiac cardiovascular events (MACCE) (all-cause death, cerebrovascular accident, myocardial infarction, or repeat revascularization), a safety endpoint infarction), revascularization. Analysis where available pre- post-PCI. Results Of 266 eligible analysis, 185 underwent PCI (group B); 1 stent used 75 B1), whereas ≥2 stents 110 B2). Stratification across pre-PCI tertiles ( Conclusions restricted post-procedural resulted higher event rates PCI. Pre-PCI value did not outcome.
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