title: [Primary treatment of left coronary artery diseases by percutaneous implantation of stents].
abstract: Left main coronary artery (LM) stenting has only been reported in bail-out situations or absolute contraindications so surgery. The authors report the immediate and midterm results of primary Palmaz-Schatz stent implantation in two young patients without contraindication to surgery. The first patient, 58 year-old, was admitted for unstable angina in October 1994. Coronary angiography showed an isolated severe ostial lesion of the LM. After conferring with the surgical team which remained on stand-by, angioplasty and stent implantation were performed with excellent results, no complications and no restenosis on angiographic controls at 3 and 12 months. The patient remained asymptomatic 24 months later. The second patient, 38 year-old, was admitted in June 1995 for unstable angina, and coronary angiography showed a severe isolated stenosis in the middle of a long and wide LM. Primary coronary stenting was also performed with excellent results, no complication and no restenosis on angiographic controls at 4 and 8 months. This patient was still asymptomatic 16 months after stenting. These excellent immediate and medium-term results are encouraging and suggest that this form of treatment might be extended to patients with an isolated whether primary LM stent implantation could become a suitable alternative to surgery in the future.
authors.affiliation: Service de cardiologie, hôpital Charles Nicolle, université de Rouen.
authors.forename: R
authors.initials: R
authors.lastname: Koning
authors.forename: A
authors.initials: A
authors.lastname: Cribier
authors.forename: H
authors.initials: H
authors.lastname: Eltchaninoff
authors.forename: C
authors.initials: C
authors.lastname: Tron
authors.forename: G
authors.initials: G
authors.lastname: Derumeaux
authors.forename: F
authors.initials: F
authors.lastname: Bouchard
authors.forename: R
authors.initials: R
authors.lastname: Soyer
authors.forename: B
authors.initials: B
authors.lastname: Letac
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy*; D004630:Emergencies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome
vernacular_title: Traitement en première intention des lésions du tronc commun de la coronaire gauche par implantation percutanée d'une endoprothèse.