Original Research | By Buchanan GL, Chieffo A, Colombo A et al.
AIMS - To assess two-year outcomes following first vs. new-generation drug-eluting stent (DES) implantation in unprotected left main (ULMCA) percutaneous coronary intervention. METHODS AND RESULTS - All eligible patients from our two-centre registry treated with first and new-generation DES from October 2006 to November 2010 were analysed. The study objective was major adverse cardiac ev...
Clinical Trial | By Valenti R, Migliorini A, Parodi G et al.
OBJECTIVES - The goal of this study was to compare the outcomes of patients treated with everolimus-eluting stents (EES) with outcomes of patients treated with first-generation paclitaxel-eluting stents (PES) for unprotected left main disease (ULMD). BACKGROUND - No data exist about the comparison of these 2 types of stents in ULMD. METHODS - The primary endpoint of the study wa...
Clinical Trial | By Hildick-Smith D, de Belder AJ, Cooter N et al.
BACKGROUND - The optimal strategy for treating coronary bifurcation lesions remains a subject of debate. With bare-metal stents, single-stent approaches appear to be superior to systematic 2-stent strategies. Drug-eluting stents, however, have low rates of restenosis and might offer improved outcomes with complex stenting techniques. METHODS AND RESULTS - Patients with significant coronary bifur...
Original Research | By Colombo A, Bramucci E, Saccà S et al.
BACKGROUND - Sirolimus-eluting stents have been reported to be effective in the treatment of coronary bifurcations. Still, it has not been fully clarified which strategy would provide the best results with true bifurcation lesions. METHODS AND RESULTS - The CACTUS trial (Coronary bifurcations: Application of the Crushing Technique Using Sirolimus-eluting stents) is a prospective, randomized, mu...
Clinical Trial | By Kim YH, Park DW, PRECOMBAT-2 Investigators.
OBJECTIVES - This study sought to evaluate the safety and efficacy of second-generation drug-eluting stents (DES) for patients with unprotected left main coronary artery (ULMCA) stenosis. BACKGROUND - The clinical benefit of second-generation DES for ULMCA stenosis has not been determined. METHODS - The authors assessed 334 consecutive patients who received everolimus-eluting stents ...
Original Research | By Tiroch K, Mehilli J, Byrne RA et al.
OBJECTIVES - This study sought to evaluate the impact of anatomic and procedural variables on the outcome of the unprotected left main coronary artery (uLMCA) itself after drug-eluting stent (DES) implantation. BACKGROUND - There is a controversial debate regarding when and how to perform percutaneous coronary intervention (PCI) for an uLMCA stenosis. METHODS - This...
Clinical Trial | By Palmerini T, Marzocchi A, Tamburino C et al.
BACKGROUND - Distal unprotected left main coronary artery (ULMCA) stenosis represents a technical challenge for interventional cardiologists. In this study, we compared 2-year clinical outcomes of different stenting strategies in patients with distal ULMCA stenosis treated with drug-eluting stents. METHODS AND RESULTS - The survey promoted by the Italian Society of Invasive Cardiology on ULMCA steno...
Clinical Trial | By Song YB, Hahn JY, Gwon HC et al.
OBJECTIVES - The authors sought to investigate whether the impact of treatment strategies on clinical outcomes differed between patients with left main (LM) bifurcation lesions and those with non-LM bifurcation lesions. BACKGROUND - Few studies have considered anatomic location when comparing 1- and 2-stent strategies for bifurcation lesions. METHODS - We compared the prognostic impact of...
Clinical Trial | By Ferenc M, Banholzer N, Hochholzer W et al.
AIMS - Percutaneous coronary intervention (PCI) of unprotected distal left main stenosis (UDLM) is increasingly performed as an alternative to surgical treatment. The optimal strategy for stenting in this setting is still a matter of debate. Therefore, this analysis investigated the long-term clinical outcome of a single- versus a double-stenting strategy for treatment of UDLM. METHODS AND RESULTS - From a la...
Left Main Bifurcation Angioplasty: Are 2 Stents One Too Many?
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