title: Drug-eluting stent for unprotected left main coronary artery disease: early and mid-term outcomes.
abstract: BACKGROUND
  PCI is increasingly performed in patients with ULMCA disease. The efficacy and safety of drug-eluting stents in ULMCA disease have been reported.
  
  
  OBJECTIVE
  To evaluate the early and mid-term clinical outcome of the Percutaneous Coronary Intervention (PCI) with Drug-Eluting stent (DES) in unprotected left main coronary artery (ULMCA) disease patients.
  
  
  METHODS
  PCI with DES was performed with 90 consecutive patients having ULMCA disease between January 2006 and June 2009.
  
  
  RESULTS
  At a median follow-up of 22.8 +/- 12.2 months, major adverse cardiac or cerebrovascular events (MACCE) occurred in 11 (12.2%) patients. There were seven (7.8%) deaths including two (2.2%) cardiac deaths and five (5.6%) non-cardiac deaths. There was one MI (1.1%), and four (4.4%) target vessel revascularization. Restenosis in the left main occurred only in two patients (2.2%) and definite stent thrombosis occurred in two patients (2.2%).
  
  
  CONCLUSIONS
  The present study demonstrates that PCI with Drug-Eluting stent implantation in unprotected left main coronary artery disease is a safe form of treatment and has favorable outcomes.
authors.affiliation: Sappasitthiprasong Hospital, Ubonratchathani, Thailand. worawutwalla@yahoo.com
authors.forename: Worawut
authors.initials: W
authors.lastname: Tassanawiwat
authors.forename: Weera
authors.initials: W
authors.lastname: Mahavanakul
authors.forename: Praprut
authors.initials: P
authors.lastname: Thanakitcharu
authors.forename: Piyarat
authors.initials: P
authors.lastname: Komolsart
authors.forename: Sopida
authors.initials: S
authors.lastname: Chansod
authors.forename: Bancha
authors.initials: B
authors.lastname: Sookananchai
authors.forename: Chaiyasith
authors.initials: C
authors.lastname: Wongvipaporn
authors.forename: Songsak
authors.initials: S
authors.lastname: Kiatchoosakun
authors.forename: Sakda
authors.initials: S
authors.lastname: Cheiniwat
authors.forename: Damras
authors.initials: D
authors.lastname: Tresukosol
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy*; D023903:Coronary Restenosis / Q000175:diagnosis / Q000453:epidemiology; D023921:Coronary Stenosis / Q000175:diagnosis / Q000453:epidemiology; D054855:Drug-Eluting Stents / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D013785:Thailand / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome