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Titolo:
Catheter-based reperfusion of unprotected left main stenosis during an acute myocardial infarction (the ULTIMA experience)
Autore:
Marso, SP; Steg, G; Plokker, T; Holmes, D; Park, SJ; Kosuga, K; Tamai, H; Macaya, C; Moses, J; White, H; Verstraete, SFC; Ellis, SG;
Indirizzi:
Cleveland Clin Fdn, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 in Fdn, Cleveland, OH 44195 USA St Antonius Ziekenjuis, Nieuwegein, Netherlands St Antonius Ziekenjuis Nieuwegein Netherlands , Nieuwegein, Netherlands Hosp Bichat, Paris, France Hosp Bichat Paris FranceHosp Bichat, Paris, France Mayo Clin, Rochester, MN USA Mayo Clin Rochester MN USAMayo Clin, Rochester, MN USA Shiga Med Ctr, Moriyama, Japan Shiga Med Ctr Moriyama JapanShiga Med Ctr, Moriyama, Japan Univ Ulsan, Seoul, South Korea Univ Ulsan Seoul South KoreaUniv Ulsan, Seoul, South Korea Hosp Univ San Carlos, Madrid, Spain Hosp Univ San Carlos Madrid SpainHosp Univ San Carlos, Madrid, Spain Lenox Hill Hosp, New York, NY USA Lenox Hill Hosp New York NY USALenox Hill Hosp, New York, NY USA SW Cardiol Associates, Albuquerque, NM USA SW Cardiol Associates Albuquerque NM USA Associates, Albuquerque, NM USA
Titolo Testata:
AMERICAN JOURNAL OF CARDIOLOGY
fascicolo: 11, volume: 83, anno: 1999,
pagine: 1513 - 1517
SICI:
0002-9149(19990601)83:11<1513:CROULM>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY CORONARY ANGIOPLASTY; PLASMINOGEN-ACTIVATOR; THROMBOLYTIC THERAPY; UNSTABLE ANGINA; ARTERY; MULTICENTER; TRIAL; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Ellis, SG Cleveland Clin Fdn, 9500 Euclid Ave, Cleveland, OH 44195 USA Cleveland Clin Fdn 9500 Euclid Ave Cleveland OH USA 44195 95 USA
Citazione:
S.P. Marso et al., "Catheter-based reperfusion of unprotected left main stenosis during an acute myocardial infarction (the ULTIMA experience)", AM J CARD, 83(11), 1999, pp. 1513-1517

Abstract

The ULTIMA registry was a prospective, multicenter, international registryof 277 patients who underwent percutaneous coronary interventions of unprotected left main trunk stenosis. The 40 patients who underwent an emergencypercutaneous left main intervention for acute myocardial infarction are the focus of this study. We compared the results of primary angioplasty with primary stenting, characterizing both the short-term (in-hospital) and long-term (12-month) outcomes. Of the 40 patients, 23 underwent primary angioplasty, whereas 17 underwent primary stenting. The angiographic success rate was an 88% for the cohort. The in-hospital death or coronary artery bypass grafting rate was 65% for the entire group, 74% for the percutaneous transluminal coronary angioplasty group (PTCA), and 53% for the stent group (p = 0.2). The in-hospital death rate was 55% for the entire cohort, 70% for thePTCA group, and 35% for the stent group (p = 0.1). The 12-month rate of death or bypass surgery was 83% and 58% for the PTCA and stent groups, respectively (p = 0.047). The 12-month survival rate was 35% and 53% for the PTCAand stent groups, respectively (p = 0.18). Bypass surgery was required in 6 patients in the PTCA group and 2 patients in the stent group (p = 0.07). Patients undergoing percutaneous interventions for unprotected left main myocardial stenosis during an acute myocardial infarction are critically ill;an initial percutaneous revascularization approach appears feasible and may be the preferred revascularization strategy. Primary stenting was associated with improved clinical outcomes. (C) 1999 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 12:31:58