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SHR Neuro Cancer Cardio Lipid Metab Microb

Andreka, J; Malik, FT; Khandaker, M; Uddin, K; Kayum, A; Maaroufi, A; Prunea, D; Ruzsa, Z; Toth, GG.
Stenting strategy and imaging use in left main percutaneous coronary intervention: insights from a 15-year registry.
Future Cardiol. 2025; 1-8 Doi: 10.1080/14796678.2025.2511416
Web of Science PubMed FullText FullText_MUG

Leading authors Med Uni Graz: Andreka Judit
Co-authors Med Uni Graz: Maaroufi Anass; Prunea Dan-Mihai; Toth-Gayor Gabor
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Abstract:: BACKGROUND: Left main (LM) percutaneous coronary intervention (PCI) remains a major interventional challenge, with outcomes influenced by various patient- and procedure-related factors. OBJECTIVES: To analyze procedural characteristics and outcomes of patients who underwent LM PCI over a 15-year period in a single center. METHODS: We retrospectively analyzed data from all consecutive patients who underwent LM PCI between 2006 and 2022. Procedural details, with a focus on stenting technique, were collected. Primary outcome was all-cause mortality at 1 year. RESULTS: In total 3494 patients were included. The majority (67%) presented with chronic coronary syndrome. Seventy-seven percent of all patients (n = 2690) underwent PCI by single stent (SS) strategy and 23% (n = 804) by double stent (DS) strategy. One-year mortality was significantly lower in SS cases compared to DS (3.5% vs. 5.1%, HR 0.64, 95% CI 0.43-0.96). Intravascular imaging was used in 17% of the cases but showed no significant difference in one-year mortality compared to angio-guided PCI (4.8% vs. 3.7%; HR 1.11, 95% CI 0.71-1.73). CONCLUSIONS: In real-world LM PCI practice, patients for whom a provisional single-stent strategy was feasible had better outcomes than those requiring a double-stent approach.
Find related publications in this database (Keywords): Left main; percutaneous revascularization; imaging guidance; coronary bifurcation; single stent technique; double stent technique