Abstract
The optimal approach for a significant unprotected left main coronary stenosis (ULM) is debated, in light of the recent progresses of percutaneous coronary intervention (PCI). However, coronary artery bypass grafting (CABG) is still considered the first choice treatment. Randomized trials comparing PCI and CABG are ongoing, yet patient selection will considerably limit their clinical applicability. We thus designed a prospective multicenter registry which will include patients with ULM disease independently from the subsequent medical, interventional or surgical treatment: the RITMO Study (Registro Italiano sul Trattamento del tronco coMune non protettO). During the RITMO run-in phase, we conducted a systematic survey of Italian catheterization laboratories to define current management strategies for ULM. A total of 240 Italian catheterization laboratory were sent an email questionnaire on current practices for ULM, with 45 (19%) detailed replies, for a total of 61,370 annual coronary angiographies. Data provided from responders showed a 5% (95% interval: 2-16) prevalence of ULM, with 50% (9-99) of ULM treated surgically and 10% (0-81) treated percutaneously. In conclusion, treatment of ULM in Italy remains prevalently surgical, even if PCI is performed in a sizable portion of patients with ULM.
| Original language | English |
|---|---|
| Pages (from-to) | 74-75 |
| Number of pages | 2 |
| Journal | International Journal of Cardiology |
| Volume | 137 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Sep 2009 |
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Keywords
- Coronary artery bypass graft
- Coronary artery disease
- Percutaneous coronary intervention
- Stent
- Unprotected left main
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Current management of unprotected left main coronary artery disease : Run-in survey of the RITMO (Registro Italiano sul Trattamento del tronco coMune non protettO) study. / Sheiban, Imad; Sillano, Dario; Biondi-Zoccai, Giuseppe G L; De Servi, Stefano; Tamburino, Corrado; Marzocchi, Antonio; Trevi, Gian Paolo; Moretti, Claudio.
In: International Journal of Cardiology, Vol. 137, No. 1, 09.2009, p. 74-75.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Current management of unprotected left main coronary artery disease
T2 - Run-in survey of the RITMO (Registro Italiano sul Trattamento del tronco coMune non protettO) study
AU - Sheiban, Imad
AU - Sillano, Dario
AU - Biondi-Zoccai, Giuseppe G L
AU - De Servi, Stefano
AU - Tamburino, Corrado
AU - Marzocchi, Antonio
AU - Trevi, Gian Paolo
AU - Moretti, Claudio
PY - 2009/9
Y1 - 2009/9
N2 - The optimal approach for a significant unprotected left main coronary stenosis (ULM) is debated, in light of the recent progresses of percutaneous coronary intervention (PCI). However, coronary artery bypass grafting (CABG) is still considered the first choice treatment. Randomized trials comparing PCI and CABG are ongoing, yet patient selection will considerably limit their clinical applicability. We thus designed a prospective multicenter registry which will include patients with ULM disease independently from the subsequent medical, interventional or surgical treatment: the RITMO Study (Registro Italiano sul Trattamento del tronco coMune non protettO). During the RITMO run-in phase, we conducted a systematic survey of Italian catheterization laboratories to define current management strategies for ULM. A total of 240 Italian catheterization laboratory were sent an email questionnaire on current practices for ULM, with 45 (19%) detailed replies, for a total of 61,370 annual coronary angiographies. Data provided from responders showed a 5% (95% interval: 2-16) prevalence of ULM, with 50% (9-99) of ULM treated surgically and 10% (0-81) treated percutaneously. In conclusion, treatment of ULM in Italy remains prevalently surgical, even if PCI is performed in a sizable portion of patients with ULM.
AB - The optimal approach for a significant unprotected left main coronary stenosis (ULM) is debated, in light of the recent progresses of percutaneous coronary intervention (PCI). However, coronary artery bypass grafting (CABG) is still considered the first choice treatment. Randomized trials comparing PCI and CABG are ongoing, yet patient selection will considerably limit their clinical applicability. We thus designed a prospective multicenter registry which will include patients with ULM disease independently from the subsequent medical, interventional or surgical treatment: the RITMO Study (Registro Italiano sul Trattamento del tronco coMune non protettO). During the RITMO run-in phase, we conducted a systematic survey of Italian catheterization laboratories to define current management strategies for ULM. A total of 240 Italian catheterization laboratory were sent an email questionnaire on current practices for ULM, with 45 (19%) detailed replies, for a total of 61,370 annual coronary angiographies. Data provided from responders showed a 5% (95% interval: 2-16) prevalence of ULM, with 50% (9-99) of ULM treated surgically and 10% (0-81) treated percutaneously. In conclusion, treatment of ULM in Italy remains prevalently surgical, even if PCI is performed in a sizable portion of patients with ULM.
KW - Coronary artery bypass graft
KW - Coronary artery disease
KW - Percutaneous coronary intervention
KW - Stent
KW - Unprotected left main
UR - http://www.scopus.com/inward/record.url?scp=68949114315&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=68949114315&partnerID=8YFLogxK
U2 - 10.1016/j.ijcard.2008.05.009
DO - 10.1016/j.ijcard.2008.05.009
M3 - Article
C2 - 18675475
AN - SCOPUS:68949114315
VL - 137
SP - 74
EP - 75
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 1
ER -