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Limits: Publication Date from 2003/10/01 to
2005/02/01

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1: Clin
Cardiol. 2004 Jul;27(7):393-5.

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Articles,

Links

Bail-out stenting for left main
coronary artery dissection during catheter-based procedure: acute and
long-term results.

Lee SW, Hong MK, Kim YH, Park
JH, Rhee KS, Lee CW, Han KH, Song JM, Kang DH, Song JK, Kim JJ, Park SW,
Park SJ.

Department of Internal Medicine, University of Ulsan
College of Medicine, Asan Medical Center, Seoul,
Korea.

BACKGROUND: The optimal treatment of patients with left
main coronary artery (LMCA) dissection during catheter-based procedure
remains uncertain. HYPOTHESIS: In cases with significant LMCA dissection
occurring during catheter-based procedure, prompt stent implantation may
be safe and associated with favorable clinical outcome. METHODS: We
evaluated the acute and long-term results of bail-out stenting for LMCA
dissection occurring during a catheter-based procedure in 10 patients.
RESULTS: Initially, there was no significant stenosis of LMCA segments
in these patients. Catheter-induced dissection occurred in eight
patients (during diagnostic angiography in three patients and during
guiding catheter manipulation in five patients). Two patients suffered
dissection in the setting of stent deployment in other vessels.
Therefore, bail-out stenting for LMCA dissection was performed in a
total of 10 patients. In four patients, hypotension developed and an
intra-aortic balloon pump was placed during the procedure. Stents were
successfully deployed in all patients; there was no in-hospital
mortality. Six-month angiographic follow-up was performed in eight
patients. No angiographic restenosis (diameter stenosis > or = 50%)
was observed in any patient at follow-up study. During a mean follow-up
of 31 +/- 25 months after hospital discharge, there was no major adverse
cardiac event (death, myocardial infarction, and target lesion
revascularization). CONCLUSIONS: Bail-out LMCA stenting is technically
feasible and showed good acute and long-term results in a small series
of patients.

Publication Types:

Evaluation Studies

PMID: 15298038 [PubMed - indexed for
MEDLINE]

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