Clinical and Angiographic Risk Assessment in Patients With Left Main Stem Lesions

被引:31
作者
Garg, Scot
Stone, Gregg W. [3 ,4 ]
Kappetein, Arie-Peter [2 ]
Sabik, Joseph F., III [5 ]
Simonton, Charles [6 ]
Serruys, Patrick W. [1 ]
机构
[1] Erasmus MC, Thoraxctr, Dept Intervent Cardiol, NL-3015 CE Rotterdam, Netherlands
[2] Erasmus MC, Dept Cardiothorac Surg, NL-3015 CE Rotterdam, Netherlands
[3] Columbia Univ, Med Ctr, New York, NY USA
[4] Cardiovasc Res Fdn, New York, NY USA
[5] Cleveland Clin Fdn, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44195 USA
[6] Abbott Vasc, Santa Clara, CA USA
关键词
ACEF score; clinical SYNTAX score; coronary artery bypass grafting; EuroSCORE; global risk classification; percutaneous coronary intervention; stenting; SYNTAX score; unprotected left main stem; PERCUTANEOUS CORONARY INTERVENTION; MODIFIED AMERICAN-COLLEGE; SIROLIMUS-ELUTING STENT; ARTERY-BYPASS-SURGERY; IN-HOSPITAL MORTALITY; SYNTAX SCORE; MORPHOLOGY CLASSIFICATION; MYOCARDIAL-INFARCTION; THORACIC SURGEONS; PROGNOSTIC VALUE;
D O I
10.1016/j.jcin.2010.06.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous coronary intervention of unprotected left main stem lesions has been shown to be a suitable alternative to cardiac surgery in selected patients, emphasizing the need for appropriate risk stratification prior to selection of revascularization modality. Several risk models based on clinical and angiographic variables have been developed to guide patient selection, each of which has significant limitations. This paper reviews contemporary and newly proposed risk models for patients undergoing left main stem revascularization. (J Am Coll Cardiol Intv 2010;3:891-901) (C) 2010 by the American College of Cardiology Foundation
引用
收藏
页码:891 / 901
页数:11
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