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European Heart Journal 1991 12(5):642-647;
Copyright © 1991 by the European Society of Cardiology.
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© 1991 The European Society of Cardiology

Long-term results of coronary angioplasty for single vessel, proximal, left anterior descending disease

R. A. HENDERSON, S. KARANI, A. DRITSAS and E. SOWTON

Department of Cardiology, Guy's Hospital St Thomas Street, London SE1 9RT

Received 14 February 1990; revised 25 June 1990; .

Correspondence:Dr Robert Henderson, Department of Cardiology, Guy's Hospital. St Thomas Street, London SE1 9RT, U.K.

Abstract

The acute and long-term results of coronary angioplasty in 295 patients with isolated, proximal left anterior descending coronary stenosis are reported. The angiographic success rate was 83·4% overall, but 90·5% for non-occluded arteries treated since 1985. Clinical success at hospital discharge was achieved in 79·7%. The median duration of follow-up was 2 years and vital status was established in 99·7% at census. Cumulative 5-year cardiac survival was 96·2% after successful angioplasty and 95·6% for all patients. Five-year freedom from all cardiac events including cardiac death, myocardial infarction and repeat intervention was 73·8% amongst successfully treated patients, and 63·0% for all patients. After angioplasty, patients had less angina, required less anti-anginal medication and were more likely to be in gainful employ ment. Our data indicate that coronary angiop!asty is an effective long-term treatmenifor selectedpatients with single vessel disease involving the proximal left anterior descending coronary artery.

Key Words: Coronary angioplasty • single vessel disease • proximal left anterior descending disease


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