Percutaneous stent implantation for treating multivessel coronary disease in patients with and without involvement of the proximal segment of the anterior descending coronary artery

To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, who underwent percuta...

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Veröffentlicht in:Arquivos brasileiros de cardiologia 2002-07, Vol.79 (1), p.25-34
Hauptverfasser: Salgueiro, Sandro, Silva, Augusto Daige da, Tofano, Ricardo José, Costa, Vinicius Carvalho da, Pizarro, Karina, Salman, Adnan Ali, Mangione, José Armando
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container_issue 1
container_start_page 25
container_title Arquivos brasileiros de cardiologia
container_volume 79
creator Salgueiro, Sandro
Silva, Augusto Daige da
Tofano, Ricardo José
Costa, Vinicius Carvalho da
Pizarro, Karina
Salman, Adnan Ali
Mangione, José Armando
description To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, who underwent percutaneous coronary stent placement. These patients were divided into 2 groups as follows: group I (GI) - 59 patients with involvement of the proximal segment of the anterior descending coronary artery; and group II (GII) - 130 patients without involvement of the proximal segment of the anterior descending coronary artery. No significant difference was observed in the success rate of the procedure (91.5% versus 97.6%, p=0.86), nor in the occurrence of major adverse cardiac events (5.1% versus 1.5%, p=0.38), nor in the occurrence of major vascular complications (1.7% versus 0%, p=0.69) in the in-hospital phase. In the late follow-up, the incidence of major adverse cardiac events (15.4% versus 13.7%, p=0.73) and the need for new revascularization (13.5% versus 10.3%, p=0.71) were similar for both groups. The in-hospital and late evolution of patients with multivessel coronary disease with and without involvement of the proximal segment of the anterior descending coronary artery treated with coronary stent placement did not differ. This suggests that this revascularization method is an effective procedure and a valuable option for treating these types of patients.
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subjects Aged
Angioplasty, Balloon, Coronary
Chi-Square Distribution
Coronary Disease - therapy
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Stents
Treatment Outcome
title Percutaneous stent implantation for treating multivessel coronary disease in patients with and without involvement of the proximal segment of the anterior descending coronary artery
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