BACKGROUND Diabetes mellitus adversely affects outcomes in patients undergoing percutaneous coronary intervention. The association of baseline hemoglobin A1c (HbA1c) at the time of percutaneous coronary intervention with long-term mortality is unknown. METHODS AND RESULTS Consecutive patients with diabetes mellitus undergoing percutaneous coronary intervention between 1998 and 2008 were ident...

Secondary coronary revascularizations can be required due to the progression of artery lesions and degeneration bypass grafts in long term after initial graft (CABG) surgery. It is therefore necessary clarify clinical characteristics these patients how improve their prognosis. Optimal medical treatments, including medications, smoking cessation, cardiac rehabilitation, are essential baseline ma...

Acute total occlusion of the unprotected left main coronary artery (LM) results in cardiogenic shock, or left main shock syndrome (LMSS), in the majority of affected patients (1). The prognosis of the subset of patients with LMSS and complete occlusion is dire, with up to 100% mortality (2). In this paper, three patients with LMSS who underwent percutaneous coronary intervention (PCI) alone or ...

Despite the remarkable advances in revascularization strategies made during the last decade, a significant proportion of patients are excluded from either percutaneous coronary intervention or coronary artery bypass grafting because of unsuitable coronary anatomy. Diffuse severe coronary artery disease, small vessel caliber, chronic total occlusions, or extremely calcified vessels are frequent ...

This describes a technique for the successful performance of percutaneous coronary intervention in patients whose right coronary artery arises from the left sinus of Valsalva and in whom the standard guiding catheters do not allow coaxial support.

BACKGROUND In patients with stable coronary artery disease undergoing elective percutaneous coronary intervention, the prognostic value of high-sensitivity cardiac troponin T (hs-cTnT) and the influence of sex remain poorly defined. METHODS AND RESULTS Consecutive patients with stable coronary artery disease who underwent elective percutaneous coronary intervention were included. Primary endp...

The treatment of patients with coronary artery disease continues to evolve; all three strategies - medical therapy, surgical revascularization, and percutaneous coronary intervention - have changed. Medical therapy with intense risk-factor modification and treatment with a statin, aspirin, and angiotensin-converting enzyme (ACE) inhibitors, should be used unless contraindicated. Surgical therap...

BACKGROUND Advantages and disadvantages of ad hoc percutaneous coronary intervention have been described. However little is known about the radiation exposure of that procedure as compared with the staged intervention. OBJECTIVE To compare the radiation dose of the ad hoc percutaneous coronary intervention with that of the staged procedureMethods:The dose-area product and total Kerma were mea...