Avtor/Urednik		Kanič, Vojko
Naslov		Perkutano zdravljenje patologije debla leve koronarne arterije
Prevedeni naslov		Percutaneus therapy of left main coronary artery pathology
Tip		članek
Vir		In: Križman I, editor. Interna medicina 2006: novosti in aktualnosti. Zbornik predavanj strokovnega sestanka Združenja internistov SZD, 2006 sep 29-30; Ljubljana. Ljubljana: Združenje internistov SZD,
Leto izdaje		2006
Obseg		str. 231-6
Jezik		slo
Abstrakt		Surgical therapy is recommended for patients with significant left main coronary artery disease. Stenting of unprotected left main coronary artery (LMCA) stenosis is often performed, but the long-term safety of this therapy is not yet established. Drug eluting stents must be used for unprotected LMCA stenting. Stenting of unprotected LMCA is feasible and safe. Midterm results seem promising but long-term results are not yet available. We treated 26 unselected patients with unprotected LMCA stenosis/occlusion. 16 (61%) with acute coronary syndrome (8 with ST elevation myocardial infarction (STEMI), 8 with non-ST elevation myocardial infarction) and 10 (39%) with angina pectoris. Patients were on average 68 (40-86) years old. Procedures were successful in all cases (100%). 19 (73%) patients had multi vessel disease. Patients were observed on average 11+/- 4 months (CI 0,05). Two (7,6%) patients with STEMI died three days after procedure. There was 1 (3,8%) pre-stent restenosis in unprotected LMCA and one (3,8%) in-stent restenosis in bare metal stent not in LMCA. No stroke or intracranial hemorrhage was observed. We had one complication (3,8%) - major hemorrhage at puncture site which needed transfusion. No one needed surgical therapy till now.
Deskriptorji		CORONARY DISEASE ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY