Left ventricular unloading in high-risk percutaneous coronary intervention (Registro nro. 22920)
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| 000 -Cabecera | |
|---|---|
| Campo de control interno | 02659nam a2200301 4500 |
| 001 - Número de control | |
| control field | ESSALUD |
| 005 - Fecha y hora de la última transacción | |
| Campo de control | 20260903101808.0 |
| 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 | Perera, Divaka |
| Rol del Autor | Autor |
| 9 (RLIN) | 54527 |
| 245 ## - Titulo | |
| Titulo | Left ventricular unloading in high-risk percutaneous coronary intervention |
| 300 ## - Páginas | |
| Paginación | páginas: 1779-1789 |
| 520 ## - Resumen | |
| Resumen | Background: Complex percutaneous coronary intervention (PCI) in patients with severely impaired left ventricular function carries a high risk of death and complications. Whether percutaneous left ventricular unloading improves outcomes remains unclear. Methods: We randomly assigned 300 patients with severe left ventricular dysfunction and extensive coronary artery disease in a 1:1 ratio to a strategy of elective unloading with a microaxial flow pump or to standard care during planned complex PCI. The primary outcome was a hierarchical composite that included death from any cause, disabling stroke, spontaneous myocardial infarction, hospitalization for cardiovascular causes, or periprocedural myocardial injury at a minimum of 12 months, as analyzed according to a win ratio. Results: A total of 148 patients were assigned to receive a microaxial flow pump and 152 to receive standard care. At a median of 22 months (interquartile range, 16 to 30), 36.6% of pairwise comparisons favored the microaxial flow pump, and 43.0% favored standard care (win ratio, 0.85; 95% confidence interval [CI], 0.63 to 1.15; difference, −6.4 percentage points; P=0.30). Death from any cause occurred in 47 patients in the microaxial-flow-pump group and 33 in the standard-care group (hazard ratio, 1.54; 95% CI, 0.99 to 2.41). There was no material between-group difference in the risk of bleeding or vascular complications. Conclusions: Among patients with severely impaired left ventricular function undergoing complex PCI, elective left ventricular unloading with a microaxial flow pump did not reduce the risk of major adverse clinical outcomes at a minimum of 12 months.<br/><br/> |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | CARDIOLOGÍA GENERAL |
| 9 (RLIN) | 53638 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | ENFERMEDAD CORONARIA |
| 9 (RLIN) | 14895 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | INFARTO DE MIOCARDIO |
| 9 (RLIN) | 13202 |
| 650 ## - Temas - Descriptores | |
| Temas - Descriptores | SOPORTE CIRCULATORIO MECÁNICO |
| 9 (RLIN) | 54520 |
| 700 ## - Autor Personal | |
| Autor Personal | Ryan, Matthew |
| 9 (RLIN) | 54528 |
| 700 ## - Autor Personal | |
| Autor Personal | Ezad, Saad M. |
| 9 (RLIN) | 54529 |
| 700 ## - Autor Personal | |
| Autor Personal | Khan, Sohail Q. |
| 9 (RLIN) | 54530 |
| 700 ## - Autor Personal | |
| Autor Personal | Webb, Ian |
| 9 (RLIN) | 54531 |
| 700 ## - Autor Personal | |
| Autor Personal | O’Kane, Peter D. |
| 9 (RLIN) | 54532 |
| 700 ## - Autor Personal | |
| Autor Personal | Weerackody, Roshan |
| 9 (RLIN) | 54533 |
| 773 0# - Revista (Relacion con el numero) | |
| Host Biblionumber | 22717 |
| Host Itemnumber | 22676 |
| Ciudad, Editorial | Massachusetts NEJM Group |
| Codigo barras item/ejemplar | NEJM015 |
| 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 | 2026-08-31 |
| Catalogador | sqb |
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