Linked Life Data

9129247

Source:http://linkedlifedata.com/resource/pubmed/id/9129247

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1997-6-30
pubmed:abstractText
To determine the clinical significance of angiographically undetected left main coronary artery (LMCA) disease, we analyzed data from 47 patients, with a mean age of 58 years, who were examined with intravascular ultrasound (3.5 Fr, 30 MHz). For assessment of atherosclerosis, the lesion area was calculated from the ultrasound images of the formula, [(total vessel area--lumen area)/total vessel areas] x 100(%). In 37 LMCA segments of patients with significant distal coronary stenosis (> 50%), the percent intima-media area (the index) was 39 +/- 11% (mean +/- SD), significantly greater than that of 10 patients without distal disease (27 +/- 4%, P < 0.01). Among those with significant coronary stenosis, the index was markedly greater in patients with multi-vessel coronary stenosis (46 +/- 12%, n = 19) than in patients with single-vessel disease (33 +/- 9%, n = 18; P < 0.01). At three LMCA sites associated with multi-vessel disease, ultrasound analysis demonstrated disruption of the intima at the site where the guiding catheter for balloon angioplasty had been positioned. These results indicate that LMCA disease is more prominent in patients with multi-vessel distal coronary disease than in those with single vessel disease, even in the absence of angiographic stenosis. We suggest that LMCA trauma can occur where the guiding catheter for angioplasty is positioned, particularly in patients with multi-vessel distal disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0910-8327
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
262-8
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
Intravascular ultrasound evidence of angiographically undetected left main coronary artery disease and associated trauma during interventional procedures.
pubmed:affiliation
Cardiology Division of Medicine, National Cardiovascular Center, Osaka, Japan.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't