Vol 61, No 9 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery a prospective, randomised study

Marek Cisowski, Agnieszka Drzewiecka-Gerber, Rafał Ulczok, Rafik Abu Samra, Janusz Drzewiecki, Michał Guzy, Maria Trusz-Gluza, Andrzej Bochenek
Kardiol Pol 2004;61(9):258-261.
Vol 61, No 9 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Background: The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descending (LAD) coronary artery with the use of the internal mammary artery are excellent.
Aim: To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
Methods: This prospective and randomised study included 100 patients with an isolated critical (≥70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
Results: After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p

Abstract

Background: The dynamic development of interventional cardiology resulted in an increasing proportion of patients treated with various forms of coronary angioplasty instead of surgery. On the other hand, it has been well established that the results of coronary artery by-pass surgery of the left anterior descending (LAD) coronary artery with the use of the internal mammary artery are excellent.
Aim: To compare the results of primary direct stenting (PDS) and endoscopic atraumatic coronary artery bypass (EACAB) surgery in patients with an isolated proximal LAD type A or B1 lesion.
Methods: This prospective and randomised study included 100 patients with an isolated critical (≥70%) LAD stenosis who underwent PDS (n=50) or EACAB (n=50).
Results: After a six-month follow-up period, 32 (64%) PDS patients and 47 (94%) EACAB patients were angina-free. The rate of major cardiac adverse events (MACE) was significantly higher in the PDS group than in surgically treated patients (p
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Keywords

primary direct stenting - minimally invasive cardiac surgery - lad stenosis - revascularisation

About this article
Title

Primary direct stenting versus endoscopic atraumatic coronary artery bypass surgery in patients with proximal stenosis of the left anterior descending coronary artery a prospective, randomised study

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 61, No 9 (2004)

Pages

258-261

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;61(9):258-261.

Keywords

primary direct stenting - minimally invasive cardiac surgery - lad stenosis - revascularisation

Authors

Marek Cisowski
Agnieszka Drzewiecka-Gerber
Rafał Ulczok
Rafik Abu Samra
Janusz Drzewiecki
Michał Guzy
Maria Trusz-Gluza
Andrzej Bochenek

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