Stent implantation in aorto-ostial lesions: long-term follow-up and predictors of outcome

• Tipo: Artigo em Revista Científica Internacional
• Data: 2012

Autores

Andre Luz (Autor) Outra; Christine Hughes (Autor) Outra; Rui Magalhaes (Autor) ICBAS; Teodoro Bisceglia (Autor) Outra; Fleur Descoutures (Autor) Outra; Khalid Tamamm (Autor) Outra; Didier Tchetche (Autor) Outra; Antoine Sauguet (Autor) Outra; Bruno Farah (Autor) Outra; Jean Fajadet (Autor) Outra

Revista

Título: EuroIntervention

Vol. 7 Nº 9

Páginas: 1069-1076

ISSN: 1774-024X

Editora: Europa Ed

Indexação

ISI Web of Knowledge - 16 Citações

Scopus - 18 Citações

Classificação Científica

FOS: Ciências médicas e da saúde > Medicina clínica

Outras Informações

ID Authenticus: P-002-H0D

DOI: 10.4244/eijv7i9a170

Abstract (EN): Aims: To compare the outcomes of drug-eluting (DES) vs. bare-metal (BMS) stents for stenting of native aorto-ostial lesions (AOL) and to identify predictors of major adverse cardio and cerebrovascular events (MACCE). Methods and results: A total of 181 patients (182 AOL) who underwent stenting of AOL were retrospectively identified: right-coronary artery in 130 (71.4%), left main in 52 (28.6%). In-hospital event rate was 1.1% (two non-Q-wave myocardial infarctions). Follow-up was possible in 98.3%, median time=23.9 months (IQR 12.1-37.7). Event rates and survival MACCE-free were not significantly different between DES and BMS. After multivariate analysis, only the logistic EuroSCORE >10% predicted MACCE (HR=4.66, 95% Cl: 2.38-9.12, p<0.001), whereas the predictors for TLR were age (HR=0.96, 95% Cl: 0.92-1.00, p=0.039) and the stented artery (RCA vs. LM, HR=10.2, 95% Cl: 1.37-75.45, p=0.024). Conclusions: AOL stenting can be performed with high success and low complication rates. At follow-up, no significant differences in event rates were found between DES and BMS; EuroSCORE>10% was the only predictor of MACCE.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 8