{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T02:33:27Z","timestamp":1785551607577,"version":"3.56.0"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["ajconline.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Cardiology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.amjcard.2026.03.053","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:07:02Z","timestamp":1774310822000},"page":"76-86","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Three-Year Outcomes of Contemporary Left Main Coronary Intervention in Patients With and Without Acute Coronary Syndrome"],"prefix":"10.1016","volume":"268","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4825-5347","authenticated-orcid":false,"given":"Yoshinobu","family":"Murasato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensaku","family":"Higashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Sugino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaya","family":"Arikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumiaki","family":"Mori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunori","family":"Ueda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Matsumura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuru","family":"Abe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomomi","family":"Koizumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuhiro","family":"Shimomura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinji","family":"Tayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Saeki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shogo","family":"Imagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Takenaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukiko","family":"Morita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuro","family":"Kashima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Takami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Ono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuki","family":"Fukae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanae","family":"Takahashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisako","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjcard.2026.03.053_bib0001","doi-asserted-by":"crossref","first-page":"3415","DOI":"10.1093\/eurheartj\/ehae177","article-title":"2024 ESC guidelines for the management of chronic coronary syndromes","volume":"45","author":"Vrints","year":"2024","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0002","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/S0140-6736(23)02454-6","article-title":"Intravascular imaging-guided coronary drug-eluting stent implantation: an updated network meta-analysis","volume":"403","author":"Stone","year":"2024","journal-title":"Lancet"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0003","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.122.026500","article-title":"Impact of intracoronary imaging-guided percutaneous coronary intervention on procedural outcomes among complex patient groups","volume":"11","author":"Mohamed","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0004","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.116.004813","article-title":"Intravascular ultrasound guidance is associated with better outcome in patients undergoing unprotected left main coronary artery stenting compared with angiography guidance alone","volume":"10","author":"Andell","year":"2017","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0005","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.carrev.2023.05.020","article-title":"Intracoronary imaging in PCI for acute coronary syndrome: insights from British Cardiovascular Intervention Society registry","volume":"56","author":"Zaman","year":"2023","journal-title":"Cardiovasc Revasc Med"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0006","doi-asserted-by":"crossref","unstructured":"Murasato Y, Nakashima H, Sugino H, Arikawa M, Mori F, Ueda Y, Matsumura K, Abe M, Koizumi T, Shimomura M, Fujimoto K, Saeki T, Imagawa S, Takenaka T, Morita Y, Kashima K, Takami A, Ono Y, Fukae A and Yoshida H. Routine intracoronary imaging-guided left main coronary intervention. Sci Rep 2025;15:9504.","DOI":"10.1038\/s41598-025-93763-2"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0007","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1253\/circj.CJ-20-1282","article-title":"JCS\/JSCVS 2018 guideline on revascularization of stable coronary artery disease","volume":"86","author":"Nakamura","year":"2022","journal-title":"Circ J"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0008","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1007\/s12928-020-00669-z","article-title":"Contemporary use and trends in percutaneous coronary intervention in Japan: an outline of the J-PCI registry","volume":"35","author":"Sawano","year":"2020","journal-title":"Cardiovasc Interv Ther"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0009","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.jcin.2012.10.020","article-title":"A systematic review and meta-analysis on primary percutaneous coronary intervention of an unprotected left main coronary artery culprit lesion in the setting of acute myocardial infarction","volume":"6","author":"Vis","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0010","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1253\/circrep.CR-19-0056","article-title":"Clinical characteristics and In-hospital mortality according to left main and non-left main culprit lesions- report from the Japan acute Myocardial infarction Registry (JAMIR)","volume":"1","author":"Nishihira","year":"2019","journal-title":"Circ Rep"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0011","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1536\/ihj.54.185","article-title":"Clinical outcome of unprotected left main coronary artery disease in patients with acute myocardial infarction","volume":"54","author":"Sim","year":"2013","journal-title":"Int Heart J"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0012","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.jcin.2011.04.004","article-title":"Primary percutaneous coronary intervention for unprotected left main disease in patients with acute ST-segment elevation myocardial infarction the AMIS (Acute Myocardial Infarction in Switzerland) plus registry experience","volume":"4","author":"Pedrazzini","year":"2011","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0013","doi-asserted-by":"crossref","first-page":"2308","DOI":"10.1093\/eurheartj\/ehp353","article-title":"Unprotected left main revascularization in patients with acute coronary syndromes","volume":"30","author":"Montalescot","year":"2009","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0014","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1253\/circj.CJ-18-0896","article-title":"Acute coronary syndrome with unprotected left main coronary artery culprit- an observation from the AOI-LMCA registry","volume":"83","author":"Higami","year":"2018","journal-title":"Circ J"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0015","first-page":"E201","article-title":"Left main percutaneous coronary intervention-radial versus femoral access: a systematic analysis","volume":"95","author":"Goel","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0016","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.124.036569","article-title":"Sex differences in patients undergoing left main stem percutaneous coronary intervention for stable angina: data from a national registry","volume":"13","author":"Shamkhani","year":"2024","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0017","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1161\/01.CIR.98.13.1279","article-title":"Better outcome for women compared with men undergoing coronary revascularization: a report from the bypass angioplasty revascularization investigation (BARI)","volume":"98","author":"Jacobs","year":"1998","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0018","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.jcin.2016.04.023","volume":"9","author":"Sotomi","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0019","doi-asserted-by":"crossref","unstructured":"Yamaji K, Shiomi H, Morimoto T, Toyota T, Ono K, Furukawa Y, Nakagawa Y, Kadota K, Ando K, Shirai S, Kato M, Takatsu Y, Doi O, Kambara H, Suwa S, Onodera T, Watanabe H, Natsuaki M and Kimura T. Influence of sex on long-term outcomes after implantation of bare-metal stent: a multicenter report from the coronary revascularization demonstrating outcome study-Kyoto (CREDO-Kyoto) Registry Cohort-1. Circulation 2015;132:2323\u20132333.","DOI":"10.1161\/CIRCULATIONAHA.115.017168"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0020","doi-asserted-by":"crossref","first-page":"2426","DOI":"10.1016\/j.jcin.2023.08.017","article-title":"Sex differences in fractional flow reserve- or intravascular ultrasound-guided percutaneous coronary intervention","volume":"16","author":"Zhang","year":"2023","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0021","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.119.008537","article-title":"Sex-specific management in patients with acute myocardial infarction and cardiogenic shock: a substudy of the CULPRIT-SHOCK trial","volume":"13","author":"Rubini Gimenez","year":"2020","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0022","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.1161\/01.CIR.97.21.2110","article-title":"Effect of risk factors on the mechanism of acute thrombosis and sudden coronary death in women","volume":"97","author":"Burke","year":"1998","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0023","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.1016\/j.jcmg.2012.02.003","article-title":"Gender and the extent of coronary atherosclerosis, plaque composition, and clinical outcomes in acute coronary syndromes","volume":"5","author":"Lansky","year":"2012","journal-title":"JACC Cardiovasc Imaging"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0024","doi-asserted-by":"crossref","first-page":"e1108","DOI":"10.4244\/EIJ-D-22-00454","article-title":"A large, prospective, multicentre study of left main PCI using a latest-generation zotarolimus-eluting stent: the ROLEX study","volume":"18","author":"Tarantini","year":"2023","journal-title":"EuroIntervention"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0025","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1016\/j.jcin.2019.04.056","article-title":"3-Year outcomes of the DKCRUSH-V trial comparing DK crush with provisional stenting for left main bifurcation lesions","volume":"12","author":"Chen","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0026","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.jcin.2013.09.014","article-title":"Clinical impact of intravascular ultrasound guidance in drug-eluting stent implantation for unprotected left main coronary disease: pooled analysis at the patient-level of 4 registries","volume":"7","author":"de la Torre Hernandez","year":"2014","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0027","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.118.007007","article-title":"Outcomes among patients undergoing distal left main percutaneous coronary intervention","volume":"11","author":"Kandzari","year":"2018","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0028","doi-asserted-by":"crossref","first-page":"201","DOI":"10.4244\/EIJ-D-19-01003","article-title":"Intravascular ultrasound to guide left main stem intervention: a NOBLE trial substudy","volume":"16","author":"Ladwiniec","year":"2020","journal-title":"EuroIntervention"},{"key":"10.1016\/j.amjcard.2026.03.053_bib0029","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1161\/CIRCULATIONAHA.123.066429","article-title":"Optical coherence tomography-guided or intravascular ultrasound-guided percutaneous coronary intervention: the OCTIVUS randomized clinical trial","volume":"148","author":"Kang","year":"2023","journal-title":"Circulation"}],"container-title":["The American Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926001864?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914926001864?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T16:07:51Z","timestamp":1779811671000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002914926001864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":29,"alternative-id":["S0002914926001864"],"URL":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.03.053","relation":{},"ISSN":["0002-9149"],"issn-type":[{"value":"0002-9149","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Three-Year Outcomes of Contemporary Left Main Coronary Intervention in Patients With and Without Acute Coronary Syndrome","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjcard.2026.03.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}