Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery--a prospective, randomised study
The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descen...
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| Veröffentlicht in: | Kardiologia polska (1957) 2004-09, Vol.61 (9), p.253-61; discussion 262-4 |
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| container_end_page | 61; discussion 262-4 |
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| container_issue | 9 |
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| container_title | Kardiologia polska (1957) |
| container_volume | 61 |
| creator | Cisowski, Marek Drzewiecka-Gerber, Agnieszka Ulczok, Rafał Abu Samra, Rafik Drzewiecki, Janusz Guzy, Michał Trusz-Gluza, Maria Bochenek, Andrzej |
| description | The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descending (LAD) coronary artery with the use of the internal mammary artery are excellent.
To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
This prospective and randomised study included 100 patients with an isolated critical (> or =70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p |
| format | Article |
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To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
This prospective and randomised study included 100 patients with an isolated critical (> or =70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p<0.05). After one year of follow-up, 40 (80%) PDS-treated patients and all 50 EACAB patients had no recurrences of angina. After two-year follow-period, the survival rate without MACE was significantly higher in the EACAB group than in the PDS-treated patients (94% vs 76%, p<0.05).
Minimally invasive cardiac surgery is an alternative method to direct stenting in the treatment of patients with proximal LAD stenosis.</description><identifier>ISSN: 0022-9032</identifier><identifier>PMID: 15531937</identifier><language>eng ; pol</language><publisher>Poland</publisher><subject>Adult ; Angioscopy - methods ; Coronary Artery Bypass - methods ; Coronary Stenosis - surgery ; Coronary Stenosis - therapy ; Disease-Free Survival ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Minimally Invasive Surgical Procedures ; Prospective Studies ; Stents ; Treatment Outcome</subject><ispartof>Kardiologia polska (1957), 2004-09, Vol.61 (9), p.253-61; discussion 262-4</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15531937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cisowski, Marek</creatorcontrib><creatorcontrib>Drzewiecka-Gerber, Agnieszka</creatorcontrib><creatorcontrib>Ulczok, Rafał</creatorcontrib><creatorcontrib>Abu Samra, Rafik</creatorcontrib><creatorcontrib>Drzewiecki, Janusz</creatorcontrib><creatorcontrib>Guzy, Michał</creatorcontrib><creatorcontrib>Trusz-Gluza, Maria</creatorcontrib><creatorcontrib>Bochenek, Andrzej</creatorcontrib><title>Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery--a prospective, randomised study</title><title>Kardiologia polska (1957)</title><addtitle>Kardiol Pol</addtitle><description>The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descending (LAD) coronary artery with the use of the internal mammary artery are excellent.
To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
This prospective and randomised study included 100 patients with an isolated critical (> or =70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p<0.05). After one year of follow-up, 40 (80%) PDS-treated patients and all 50 EACAB patients had no recurrences of angina. After two-year follow-period, the survival rate without MACE was significantly higher in the EACAB group than in the PDS-treated patients (94% vs 76%, p<0.05).
Minimally invasive cardiac surgery is an alternative method to direct stenting in the treatment of patients with proximal LAD stenosis.</description><subject>Adult</subject><subject>Angioscopy - methods</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary Stenosis - surgery</subject><subject>Coronary Stenosis - therapy</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures</subject><subject>Prospective Studies</subject><subject>Stents</subject><subject>Treatment Outcome</subject><issn>0022-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkM1OwzAQhHMA0VJ4BeQTJyLZTtIkR1TxJ1WCA5wjx960RkkcvE6hT8hrsaHlwml3pdlvRnMSzTmXMi55ImfROeI7ncVSiLNoJrIsEWWSz6PvF2875ffMWA86MAzQB9tv2A48jsigNw61G6xmKng1dirQqp13_fSlfAAa9X5QiAxHv5lO27OBdERC9mnDlg3efZFN-4t3aJG5hoUtsBaawFRPEOs8M4CaDCf7fw5xrCYIDpTR7uCGeUXBOotgiDma_UV02qgW4fI4F9Hb_d3r6jFePz88rW7X8SCkDDGkoLNUyrTOiqY0sjGQLWUNRkrBUyVKVRegGg5J2WTAJTe6LFIpMsjztBQyWUTXBy6l-RgBQ0UhNLSt6sGNWC1zTt0mOQmvjsKx7sBUw6Hn6q_65AdEioZv</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Cisowski, Marek</creator><creator>Drzewiecka-Gerber, Agnieszka</creator><creator>Ulczok, Rafał</creator><creator>Abu Samra, Rafik</creator><creator>Drzewiecki, Janusz</creator><creator>Guzy, Michał</creator><creator>Trusz-Gluza, Maria</creator><creator>Bochenek, Andrzej</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200409</creationdate><title>Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery--a prospective, randomised study</title><author>Cisowski, Marek ; Drzewiecka-Gerber, Agnieszka ; Ulczok, Rafał ; Abu Samra, Rafik ; Drzewiecki, Janusz ; Guzy, Michał ; Trusz-Gluza, Maria ; Bochenek, Andrzej</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p122t-e4ec54224b58f9d2fde562bed22104a19ab8eaf0e39f5e020dc984215e7749123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; pol</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Angioscopy - methods</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary Stenosis - surgery</topic><topic>Coronary Stenosis - therapy</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures</topic><topic>Prospective Studies</topic><topic>Stents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cisowski, Marek</creatorcontrib><creatorcontrib>Drzewiecka-Gerber, Agnieszka</creatorcontrib><creatorcontrib>Ulczok, Rafał</creatorcontrib><creatorcontrib>Abu Samra, Rafik</creatorcontrib><creatorcontrib>Drzewiecki, Janusz</creatorcontrib><creatorcontrib>Guzy, Michał</creatorcontrib><creatorcontrib>Trusz-Gluza, Maria</creatorcontrib><creatorcontrib>Bochenek, Andrzej</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Kardiologia polska (1957)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cisowski, Marek</au><au>Drzewiecka-Gerber, Agnieszka</au><au>Ulczok, Rafał</au><au>Abu Samra, Rafik</au><au>Drzewiecki, Janusz</au><au>Guzy, Michał</au><au>Trusz-Gluza, Maria</au><au>Bochenek, Andrzej</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery--a prospective, randomised study</atitle><jtitle>Kardiologia polska (1957)</jtitle><addtitle>Kardiol Pol</addtitle><date>2004-09</date><risdate>2004</risdate><volume>61</volume><issue>9</issue><spage>253</spage><epage>61; discussion 262-4</epage><pages>253-61; discussion 262-4</pages><issn>0022-9032</issn><abstract>The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descending (LAD) coronary artery with the use of the internal mammary artery are excellent.
To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
This prospective and randomised study included 100 patients with an isolated critical (> or =70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p<0.05). After one year of follow-up, 40 (80%) PDS-treated patients and all 50 EACAB patients had no recurrences of angina. After two-year follow-period, the survival rate without MACE was significantly higher in the EACAB group than in the PDS-treated patients (94% vs 76%, p<0.05).
Minimally invasive cardiac surgery is an alternative method to direct stenting in the treatment of patients with proximal LAD stenosis.</abstract><cop>Poland</cop><pmid>15531937</pmid></addata></record> |
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| ispartof | Kardiologia polska (1957), 2004-09, Vol.61 (9), p.253-61; discussion 262-4 |
| issn | 0022-9032 |
| language | eng ; pol |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Angioscopy - methods Coronary Artery Bypass - methods Coronary Stenosis - surgery Coronary Stenosis - therapy Disease-Free Survival Female Follow-Up Studies Humans Male Middle Aged Minimally Invasive Surgical Procedures Prospective Studies Stents Treatment Outcome |
| title | Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery--a prospective, randomised study |
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