1. Stents et angioplastie du tronc commun coronaire gauche
- Author
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Barragan, P., Commeau, P., and Roquebert, P.-O.
- Subjects
- *
ANGIOPLASTY , *CARDIAC surgery , *SURGICAL stents , *MYOCARDIAL revascularization , *MORTALITY - Abstract
Abstract: Thirty years after LMCA balloon angioplasty was performed. LMCA percutaneous intervention is still controversial because of its potential complications due to this site and of the good results of LMCA surgery. The poor balloon angioplasty is definitively given up. For the first time, bare stents were used in the middle of the 90 with excellent results concerning the in-hospital and one-year mortality, with a high rate of repeated revasculm-isation (TLR from 15 to 20 %). After the introduction of DES several physicians demonstrated the feasibility and the acceptable one-year mortality of this « off-label « indication; furthermore, cumulative experience with DES treatment for LMCA have naturally shown a reduction of the target vessel revascularisation. Nevertheless follow-up at 3 and 5 years of randomized compm-isons with CABG surgery will be necessary to dedicate LMCA eluting stenting as the new gold standard. [Copyright &y& Elsevier]
- Published
- 2007
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