Contemporary Left Main Percutaneous Coronary Intervention: A State-of-the-art Review

Showkathali, Refai; Yalamanchi, Radha Priya

doi:10.15420/icr.2023.02

Cited by 2 publications

(1 citation statement)

References 64 publications

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“…Obviously, beyond the technique used, extensive use of IVUS [ 31 ], proper sized stent platforms [ 32 ], and correct selection of the vascular approach and sheath size [ 33 ] all help to equalize the results of PCI to those of CABG.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Impact of a Routine Six-Month Exercise Stress Test after Complex Left Main Bifurcation Percutaneous Intervention

Rigatelli,

Zuin,

Marchese

et al. 2023

Diagnostics

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The prognostic value of exercise stress test after complex left main (LM) coronary artery bifurcation (LM) stenting has been poorly investigated. To partially fill this gap in knowledge, we retrospectively analyzed the procedural and medical data of consecutive patients referred to our center for complex LM bifurcation disease between January 2008 and May 2018 who were treated using either single- or dual-stenting techniques. The prognostic impact of an exercise stress test, performed 6 months after the coronary intervention, was evaluated in 502 patients (316 males, mean age 70.3 ± 12.8 years, mean Syntax score 31.6 ± 6.3). At follow up after a mean of 37.1 ± 10.8 months (range 22.1–47.3 months), the target lesion failure (TLF) rate was 10.1% while stent thrombosis and cardiovascular mortality were 1.2 and 3.6%, respectively. A positive exercise stress test was detected at 6-month follow up in 42 out of 502 patients (8.4%); the incidence of a significant restenosis was 7.6% (n = 38). Patients with a negative exercise stress test at 6-month follow up had higher freedom from TLF and improved survival compared to those with a positive exercise stress test.

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Section: Discussionmentioning

confidence: 99%

Prognostic Impact of a Routine Six-Month Exercise Stress Test after Complex Left Main Bifurcation Percutaneous Intervention

Rigatelli,

Zuin,

Marchese

et al. 2023

Diagnostics

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Extracorporeal Membrane Oxygenation Assisted Cardiac Interventions

Gupta,

Ramanathan

2024

IJCDW

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The use of extracorporeal membrane oxygenation (ECMO) for management of critically ill patients has significantly increased in the recent past due to technological progress and increased experience with safe ECMO runs. The use of venoarterial (VA) ECMO during high risk interventional cardiology procedures ensure adequate cardiac output and other organ perfusion as well. The use of elective VA ECMO support during procedure allow interventionists to perform procedure safely and comfortably, moreover the support may be extended during post-procedural period in case of cardiogenic shock or arrhythmia. VA ECMO may also be instituted in emergent situations when conventional cardiopulmonary resuscitation (CPR) is ineffective to achieve return of spontaneous circulation. The various procedures with high risk potential due to anatomical complexity, haemodynamic decompensation or preexisting clinical condition may require mechanical circulatory support. These include percutaneous coronary interventions, Transcatheter aortic valve implantation (TAVI), complex congenital anamoly or electrophysiological procedures. However an integrated team approach with appropriate communication is vital among interventional cardiologist, ECMO specialist, cardiac surgeon, cardiac anaesthesiologist and perfusionist for a successful outcome.

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Contemporary Left Main Percutaneous Coronary Intervention: A State-of-the-art Review

Cited by 2 publications

References 64 publications

Prognostic Impact of a Routine Six-Month Exercise Stress Test after Complex Left Main Bifurcation Percutaneous Intervention

Prognostic Impact of a Routine Six-Month Exercise Stress Test after Complex Left Main Bifurcation Percutaneous Intervention

Extracorporeal Membrane Oxygenation Assisted Cardiac Interventions

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