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• W2048372624 abstract "When treated medically, patients with left main coronary artery (LMCA) stenoses have a poor prognosis. 1 Taylor H.A Deumite N.J Chaitman B.R Davis K.B Killip J Rogers W.J Asymptomatic left main coronary artery disease in the Coronary Artery Surgery Study (CASS) Registry. Circulation. 1989; 79: 1171-1179 Crossref PubMed Scopus (197) Google Scholar , 2 Cohen M.V Gorlin R Main left coronary artery disease clinical experience from 1964–1974. Circulation. 1975; 52: 275-285 Crossref PubMed Scopus (226) Google Scholar Therefore, LMCA stenosis is a widely accepted indication for bypass surgery 3 Varnauskas E, for the European Coronary Surgery Study Group. Twelve-year follow-up of survival in the randomized European Coronary Surgery Study. N Engl J Med 1988;319:332–337. Google Scholar , 4 The Veterans Administration Coronary Artery Bypass Surgery Cooperative Study GroupEleven-year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. N Engl J Med. 1984; 311: 1333-1339 Crossref PubMed Scopus (655) Google Scholar and stenting is usually reserved for selected patients with prohibitive surgical risks or for bailout situations. 5 Ellis S.G Tamai H Nobuyoshi M Kosuga K Colombo A Holmes D.R Macaya C Grine C.L Whitlow P.L White H.J et al. Contemporary percutaneous treatment of unprotected left main stenosis initial results from a multicenter registry analysis 1994–1996. Circulation. 1997; 96: 3867-3872 Crossref PubMed Scopus (217) Google Scholar , 6 Sathe S Sebastian M Vohra J Valentine P Bail-out stenting for left main coronary artery occlusion following diagnostic angiography. Cathet Cardiovasc Diagn. 1994; 31: 70-72 Crossref PubMed Scopus (31) Google Scholar , 7 Macaya C Alfonso F Iniguez A Goicolea J Hernandez R Zarco P Stenting for elastic recoil during coronary angioplasty of the left main coronary artery. Am J Cardiol. 1992; 70: 105-107 Abstract Full Text PDF PubMed Scopus (71) Google Scholar In the past few years, however, there has been significant improvement in both stent implantation techniques 8 Colombo A Hall P Nakamura S Almagor Y Maiello L Martini G Gaglione A Goldberg S.L Tobis J.M Intracoronary stenting without anticoagulation accomplished with intravascular ultrasound guidance. Circulation. 1995; 91: 1676-1688 Crossref PubMed Scopus (1367) Google Scholar , 9 Hoffmann R Mintz G.S Dussaillant G.R Popma J.J Pichard A.D Satler L.F Kent K.M Griffin J Leon M.B Patterns and mechanism on in-stent restenosis a serial intravascular ultrasound study. Circulation. 1996; 94: 1247-1254 Crossref PubMed Scopus (1238) Google Scholar and postimplantation antithrombotic regimens. 10 Schoemig A Neumann F.J Kastrati A Schuhlen H Blasini R Hadamitzky M Walter H Zitmann-Roth E.A Richardt G Alt E et al. A randomized comparison of antiplatelet and anticoagulant therapy after the placement of coronary artery stents. N Engl J Med. 1996; 334: 1084-1089 Crossref PubMed Scopus (1930) Google Scholar As a result, recent series have reported stenting of unprotected LMCAs in a wider range of patients. 5 Ellis S.G Tamai H Nobuyoshi M Kosuga K Colombo A Holmes D.R Macaya C Grine C.L Whitlow P.L White H.J et al. Contemporary percutaneous treatment of unprotected left main stenosis initial results from a multicenter registry analysis 1994–1996. Circulation. 1997; 96: 3867-3872 Crossref PubMed Scopus (217) Google Scholar , 11 Lopez J.J Ho K.K Stoler R.C Caputo R.P Carrozza J.P Kuntz R.E Baim D.S Percutaneous treatment of protected and unprotected left main coronary stenoses with new devices immediate angiographic results and intermediate-term follow-up. J Am Coll Cardiol. 1997; 29: 345-352 Abstract Full Text Full Text PDF PubMed Scopus (98) Google Scholar , 12 Park S.J Park S.W Hong M.K Cheong S.S Lee C.W Kim J.J Hong M.K Mintz G.S Leon M.B Stenting of unprotected left main coronary artery stenoses; immediate and late outcomes. J Am Coll Cardiol. 1998; 31: 37-42 Abstract Full Text Full Text PDF PubMed Scopus (217) Google Scholar Despite its clinical significance, LMCA disease is neither accurately nor precisely evaluated by coronary angiography alone. 13 Hermiller J.B Buller C.E Tenaglia A.N Kisslo K.B Phillips H.R Bashore T.M Stack R.S Davidson C.J Unrecognized left main coronary artery disease in patients undergoing interventional procedures. Am J Cardiol. 1993; 71: 173-176 Abstract Full Text PDF PubMed Scopus (95) Google Scholar , 14 Fisher L.D Judkins M.P Lesperance J Cameron A Swaye P Ryan T Maynard C Bourassa M Kennedy J.W Gosselin A et al. Reproducibility of coronary angiographic reading in the Coronary Artery Surgery Study (CASS). Cathet Cardiovasc Diagn. 1982; 8: 565-575 Crossref PubMed Scopus (221) Google Scholar Intravascular ultrasound (IVUS), however, provides accurate information about the tomographic images and composition and topography of normal and atherosclerotic vascular structures of the LMCA. 13 Hermiller J.B Buller C.E Tenaglia A.N Kisslo K.B Phillips H.R Bashore T.M Stack R.S Davidson C.J Unrecognized left main coronary artery disease in patients undergoing interventional procedures. Am J Cardiol. 1993; 71: 173-176 Abstract Full Text PDF PubMed Scopus (95) Google Scholar In this study, we used acute quantitative coronary angiographic (QCA) and IVUS methodology to evaluate the role of IVUS in unprotected LMCA stenting compared with other (non-LMCA) native coronary artery stenting." @default.
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• W2048372624 title "Intravascular ultrasound findings in stenting of unprotected left main coronary artery stenosis" @default.
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