Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery

OBJECTIVE: To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. METHODS: We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, w...

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Main Authors: Salgueiro Sandro, Silva Augusto Daige da, Tofano Ricardo José, Costa Vinicius Carvalho da, Pizarro Karina, Salman Adnan Ali, Mangione José Armando
Format: Article
Language:English
Published: Sociedade Brasileira de Cardiologia (SBC) 2002-01-01
Series:Arquivos Brasileiros de Cardiologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001000004
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author Salgueiro Sandro
Silva Augusto Daige da
Tofano Ricardo José
Costa Vinicius Carvalho da
Pizarro Karina
Salman Adnan Ali
Mangione José Armando
author_facet Salgueiro Sandro
Silva Augusto Daige da
Tofano Ricardo José
Costa Vinicius Carvalho da
Pizarro Karina
Salman Adnan Ali
Mangione José Armando
author_sort Salgueiro Sandro
collection DOAJ
description OBJECTIVE: To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. METHODS: We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, who underwent percutaneous coronary stent placement. These patients were divided into 2 groups as follows: group I (GI) - 59 patients with involvement of the proximal segment of the anterior descending coronary artery; and group II (GII) - 130 patients without involvement of the proximal segment of the anterior descending coronary artery. RESULTS: No significant difference was observed in the success rate of the procedure (91.5% versus 97.6%, p=0.86), nor in the occurrence of major adverse cardiac events (5.1% versus 1.5%, p=0.38), nor in the occurrence of major vascular complications (1.7% versus 0%, p=0.69) in the in-hospital phase. In the late follow-up, the incidence of major adverse cardiac events (15.4% versus 13.7%, p=0.73) and the need for new revascularization (13.5% versus 10.3%, p=0.71) were similar for both groups. CONCLUSION: The in-hospital and late evolution of patients with multivessel coronary disease with and without involvement of the proximal segment of the anterior descending coronary artery treated with coronary stent placement did not differ. This suggests that this revascularization method is an effective procedure and a valuable option for treating these types of patients.
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spelling doaj.art-237a3ea2223c4563a1e626fb3d5785952022-12-21T23:23:21ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702002-01-017913034Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary ArterySalgueiro SandroSilva Augusto Daige daTofano Ricardo JoséCosta Vinicius Carvalho daPizarro KarinaSalman Adnan AliMangione José ArmandoOBJECTIVE: To assess coronary stent placement in patients with multivessel coronary disease and involvement of the proximal portion of the anterior descending coronary artery. METHODS: We retrospectively analyzed the in-hospital and late evolution of 189 patients with multivessel coronary disease, who underwent percutaneous coronary stent placement. These patients were divided into 2 groups as follows: group I (GI) - 59 patients with involvement of the proximal segment of the anterior descending coronary artery; and group II (GII) - 130 patients without involvement of the proximal segment of the anterior descending coronary artery. RESULTS: No significant difference was observed in the success rate of the procedure (91.5% versus 97.6%, p=0.86), nor in the occurrence of major adverse cardiac events (5.1% versus 1.5%, p=0.38), nor in the occurrence of major vascular complications (1.7% versus 0%, p=0.69) in the in-hospital phase. In the late follow-up, the incidence of major adverse cardiac events (15.4% versus 13.7%, p=0.73) and the need for new revascularization (13.5% versus 10.3%, p=0.71) were similar for both groups. CONCLUSION: The in-hospital and late evolution of patients with multivessel coronary disease with and without involvement of the proximal segment of the anterior descending coronary artery treated with coronary stent placement did not differ. This suggests that this revascularization method is an effective procedure and a valuable option for treating these types of patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001000004multivessel coronary diseasestentanterior descending coronary artery
spellingShingle Salgueiro Sandro
Silva Augusto Daige da
Tofano Ricardo José
Costa Vinicius Carvalho da
Pizarro Karina
Salman Adnan Ali
Mangione José Armando
Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
Arquivos Brasileiros de Cardiologia
multivessel coronary disease
stent
anterior descending coronary artery
title Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
title_full Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
title_fullStr Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
title_full_unstemmed Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
title_short Percutaneous Stent Implantation for Treating Multivessel Coronary Disease in Patients with and without Involvement of the Proximal Segment of the Anterior Descending Coronary Artery
title_sort percutaneous stent implantation for treating multivessel coronary disease in patients with and without involvement of the proximal segment of the anterior descending coronary artery
topic multivessel coronary disease
stent
anterior descending coronary artery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001000004
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