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Tytuł oryginału: Contemporary coronary intervention in bifurcation lesions - two-year follow-up in an unselected cohort.
Autorzy: Dudek Dariusz, Legutko Jacek, Zymek Paweł, Kałuża Grzegorz L., Dubiel Jacek S.
Źródło: Med. Sci. Monitor 2002: 8 (9) s.CR647-CR651, il., tab., bibliogr. 25 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • kardiologia

    Typ dokumentu:
  • tytuł obcojęzyczny
  • praca kliniczna

    Wskaźnik treści:
  • ludzie
  • dorośli 45-64 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: Optimatization of coronary angioplasty in bifurcation lesions remains a major challenge for percutaneous revascularization techniques. Material/Methods: We evaluated procedural success, major in-hospital complications, target vessel revascularization, and 2-year clincial outcomes in 45 patients who underwent PTCA of a bifurcation lesion using currently available techniques and rigorous criteria for optimal immediate result. Results: Angiographic success occurred in 100 p.c. of the parent vessels and in 84.4 p.c. of both vessels. Within the first 24 hours, there were no deaths or Q-wave myocardial infarction. Three non-Q-wave myocardial infarctions occurred (6.6 p.c.) and one emergency PTCA was necessary (2.2 p.c.). Therefore, clinical success was achieved in 91.2 p.c. of these patients. At 2-year follow-up, 3 cardiac deaths had occurred, the target revascualarization rate was 20 p.c., and the total frequency of major adverse cardiac events (MACE) was 37.8 p.c. Conclusions: Optimization of coronary angioplasty in bifurcation lesions is possible and results in a high angiographic success rate, low risk of acute complications and acceptable long-term clinical outcomes. However, the fairly high incidence of MACE at 2 years suggests that bifurcation lesions remain a challenge in everyday practice despite contemporary intervention methods and the use of GPIIb/IIIa inhibitors.

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