ǥ :
|
ȣ - 520652 333 |
Major Determinants for Long-Term Mortality after Coronary Stenting in Patients with Unprotected Left Main Disease |
울산대학교 서울아산병원 |
김경중, 김성식, 김성환, 이명준, 민선양, 서정숙, 박종필, 이종영, 이정우, 김원장, 박덕우, 이승환, 김영학, 이철환, 홍명기, 김재중, 박성욱, 박승정, MAIN-COMPARE investigators |
Background: Data are limited about important risk factors for long-term mortality in patients undergoing percutaneous coronary intervention (PCI) for unprotected left main coronary artery (ULMCA) disease.
Methods: Between Jan, 2000 and June, 2006, a total of 1141 patients with ULMCA stenosis underwent coronary stenting at 12 academic institutions in Korea. Bare-metal stents (BMS) and drug-eluting stents (DES) were implanted in 336 and 805 patients, respectively.
Results: During long-term clinical follow-up (median 33.3 months, IQR 22.6-47.9), 75 patients died with 3-year cumulative incidence of 7.1%. After multivariable Cox regression analysis, use of durg-eluting stent (DES), previous congestive heart failure (CHF), chronic renal failure (CRF), high Euroscore (≥6), chronic obstructive lung disease (COPD), and average stent size were major predictors for all-cause mortality in the overall PCI patients. In patients treated with BMS, high Euroscore (≥6), average stent size were identified as independent predictors of mortality. In patients treated with DES, previous CHF, CRF, COPD, high Euroscore (≥6), and intravascular ultrasound guidance were major predictors of mortality. (Table)
Conclusions: Several clinical, lesion, or procedural characteristics were identified as important predictors for long-term mortality in patients undergoing PCI for ULMCA, showing stent-specific differences in relative weight of prognostic factors.
|
|
Warning: getimagesize(/home/virtual/circulationadmin/renewal/econgress/conference/abstract/img_files/MajorDeterminantsforLong-TermMortalityafterCoronaryStentinginPatientswithUnprotectedLeftMainDisease.jpg) [function.getimagesize]: failed to open stream: No such file or directory in /home/virtual/circulationadmin/new/econgress/conference/manage/schedule/view_abstract.php on line 164
|
|