IVUS-Guided versus angiography-Guided PCI in unprotected left main coronary disease (Registro nro. 22773)

000 -Cabecera
Campo de control interno 02683nam a2200277 4500
001 - Número de control
control field ESSALUD
005 - Fecha y hora de la última transacción
Campo de control 20260805110532.0
007 - Tipo material - Descripcion fisica - info general
Tipo material - Descripcion fisica - info general ta
008 - Elementos de Longitud Fija - Información General
Elementos de Longitud Fija - Información t pe ||||| |||| 00| 0 spa d
040 ## - Origen de la Catalogación
Origen de la Catalogación BMG
041 ## - Idioma
Idioma eng
100 ## - Autor
Autor Testa, Luca
Rol del Autor Autor
9 (RLIN) 53926
245 ## - Titulo
Titulo IVUS-Guided versus angiography-Guided PCI in unprotected left main coronary disease
300 ## - Páginas
Paginación páginas: 2189-2199
520 ## - Resumen
Resumen Background: Percutaneous coronary intervention (PCI) is increasingly used for revascularization of unprotected left main coronary artery disease. Whether intravascular ultrasonographic (IVUS) guidance during PCI results in better clinical outcomes than conventional angiographic guidance alone is uncertain. Methods: In an international, multicenter, open-label trial, we randomly assigned patients with unprotected left main coronary artery disease in a 1:1 ratio to undergo either IVUS-guided PCI or angiography-guided PCI. The primary end point was a patient-oriented composite of any stroke, any myocardial infarction, any revascularization, or death from any cause at the longest follow-up. Results: A total of 806 patients underwent randomization; 401 were assigned to undergo IVUS-guided PCI and 405 to undergo angiography-guided PCI. The mean (±SD) age of the patients was 71.4±10.7 years, 78.4% of the patients were men, and 34.7% had diabetes. At a median follow-up of 2.9 years, a primary end-point event had occurred in 135 patients (33.7%) in the IVUS-guided PCI group and in 125 patients (30.9%) in the angiography-guided PCI group (hazard ratio, 1.11; 95% confidence interval, 0.87 to 1.42; P=0.40). The incidence of death, myocardial infarction, or revascularization appeared to be similar in the two groups. The percentages of patients with procedure-related and overall safety events also appeared to be similar in the two groups. Conclusions: Among patients with unprotected left main coronary artery disease, IVUS-guided PCI showed no additional benefit over angiography-guided PCI with respect to the incidence of stroke, myocardial infarction, any revascularization, or death from any cause at a median follow-up of 2.9 years.
650 ## - Temas - Descriptores
Temas - Descriptores CARDIOLOGIA
9 (RLIN) 11301
650 ## - Temas - Descriptores
Temas - Descriptores ENFERMEDAD CORONARIA
9 (RLIN) 14895
650 ## - Temas - Descriptores
Temas - Descriptores INFARTO DE MIOCARDIO
9 (RLIN) 13202
700 ## - Autor Personal
Autor Personal De la Torre Hernández, José María
9 (RLIN) 45497
700 ## - Autor Personal
Autor Personal De María, Giovanni Luigi
9 (RLIN) 53927
700 ## - Autor Personal
Autor Personal Jones, Daniel A.
9 (RLIN) 53928
700 ## - Autor Personal
Autor Personal Piñon-Esteban, Pablo
9 (RLIN) 43128
700 ## - Autor Personal
Autor Personal Campo, Gianluca
9 (RLIN) 51741
773 0# - Revista (Relacion con el numero)
Host Biblionumber 22717
Host Itemnumber 22641
Ciudad, Editorial Massachusetts NEJM Group
Codigo barras item/ejemplar NEJM008
Titulo de la Revista The New England Journal of Medicine
Número de control de registro ESSALUD
ISSN 0028-4793
942 ## - Elementos de Koha
Tipo de Documento Artículos
Fecha procesamiento 2026-08-03
Catalogador SQB

No hay ítems disponibles.