{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:49:11Z","timestamp":1790279351482,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2006,12,5]],"date-time":"2006-12-05T00:00:00Z","timestamp":1165276800000},"content-version":"vor","delay-in-days":887,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background:<\/jats:italic> The optimal treatment of patients with left main coronary artery (LMCA) dissection during catheter\u2010based procedure remains uncertain.<\/jats:p><jats:p><jats:italic>Hypothesis:<\/jats:italic> In cases with significant LMCA dissection occurring during catheter\u2010based procedure, prompt stent implantation may be safe and associated with favorable clinical outcome.<\/jats:p><jats:p><jats:italic>Methods:<\/jats:italic> We evaluated the acute and long\u2010term results of bail\u2010out stenting for LMCA dissection occurring during a catheter\u2010based procedure in 10 patients.<\/jats:p><jats:p><jats:italic>Results:<\/jats:italic> Initially, there was no significant stenosis of LMCA segments in these patients. Catheter\u2010induced dissection occurred in eight patients (during diagnostic angiography in three patients and during guiding catheter manipulation in five patients). Two patients suffered dissection in the setting of stent deployment in other vessels. Therefore, bail\u2010out stenting for LMCA dissection was performed in a total of 10 patients. In four patients, hypotension developed and an intra\u2010aortic balloon pump was placed during the procedure. Stents were successfully deployed in all patients; there was no in\u2010hospital mortality. Six\u2010month angiographic follow\u2010up was performed in eight patients. No angiographic restenosis (diameter stenosis \u226550%) was observed in any patient at follow\u2010up study. During a mean follow\u2010up of 31 \u00b1 25 months after hospital discharge, there was no major adverse cardiac event (death, myocardial infarction, and target lesion revascularization).<\/jats:p><jats:p><jats:italic>Conclusions:<\/jats:italic> Bail\u2010out LMCA stenting is technically feasible and showed good acute and long\u2010term results in a small series of patients.<\/jats:p>","DOI":"10.1002\/clc.4960270705","type":"journal-article","created":{"date-parts":[[2007,6,28]],"date-time":"2007-06-28T04:48:36Z","timestamp":1183006116000},"page":"393-395","source":"Crossref","is-referenced-by-count":26,"title":["Bail\u2010out stenting for left main coronary artery dissection during catheter\u2010based procedure: Acute and long\u2010term 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