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Buszman, Pawel E., MD, FACC; Kiesz, Stefan R., MD, FACC; Bochenek, Andrzej, MD; Peszek-Przybyla, Ewa, MD; Szkrobka, Iwona, MD; Debinski, Marcin, MD; Bialkowska, Bozena, MD; Dudek, Dariusz, MD; Gruszka, Agata, MD; Zurakowski, Aleksander, MD; Milewski, Krzysztof, MD; Wilczynski, Miroslaw, MD; Rzeszutko, Lukasz, MD; Buszman, Piotr; Szymszal, Jan, PhD; Martin, Jack L., MD, FACC; Tendera, Michal, MD, FACC
Journal of the American College of Cardiology, 02/2008, Volume: 51, Issue: 5Journal Article
Acute and Late Outcomes of Unprotected Left Main Stenting in Comparison With Surgical Revascularization Pawel E. Buszman, Stefan R. Kiesz, Andrzej Bochenek, Ewa Peszek-Przybyla, Iwona Szkrobka, Marcin Debinski, Bozena Bialkowska, Dariusz Dudek, Agata Gruzka, Aleksander Zurakowski, Krzysztof Milewski, Miroslaw Wilczynski, Lukasz Rzeszutko, Piotr Buszman, Jan Szymszal, Jack L. Martin, Michal Tendera Unprotected left main coronary artery (ULMCA) stenting is the subject of intense investigation as a potential alternative to bypass surgery. We randomly assigned 105 patients with ULMCA stenosis to receive percutaneous coronary intervention (PCI) (52 patients) or coronary artery bypass grafting (CABG) (53 patients). Patients treated with PCI had favorable early outcomes in comparison with the CABG group. At 1 year, the ejection fraction improved significantly only in the PCI group. Target vessel failure was similar in both groups. After more than 2 years, major adverse cardiac and cerebrovascular event-free survival was similar in both groups with a trend toward improved survival after PCI.
