Left Main Coronary Artery Bifurcation Lesions: Two Stents vs One Stent StrategyComparison of Major Adverse Cardiac Events (MACE) at 2 years.

Autor: Shafique, Hafiz Muhammad, Nasir, Mubarra, Samore, Naseer Ahmad, Farahe, Ali, Tariq, Muhammad Naeem, Abbasi, Muhammad Amad, Shabbir, Sadaf, Kamran, Javeria, Khan, Aleena, Azad, Naseem
Předmět:
Zdroj: Pakistan Armed Forces Medical Journal; 2022 AFIC, Vol. 72, pS501-S501, 1p
Abstrakt: ABSTRACT Objective: To evaluate the longterm clinical results for a onestent (1S) strategy compared to a twostent (2S) strategy in distal unprotected left main coronary artery (ULMCA) bifurcation disease. Study Design: Comparative Crosssectional study. Place and Duration of Study: Armed Forces Institute of Cardiology, Rawalpindi Pakistan, from Jan 2019 to Apr 2020. Methodology: 1-S approach was defined as stenting of the main vessel only and 2-S approach as stenting side branch and main vessel. Individual undergoing LMCA intervention were included via consecutive sampling in the study. Stent Crossover approach was used in 1-S technique; whereas, DK crush, culotte, and Tstenting approaches were employed in individuals who were treated with a 2-S approach. A composite of major adverse cardiovascular event (MACE) i.e., myocardial infarction, stroke or death and target lesion revascularization (TLR) were considered as primary endpoint. Results: A sum of 110 individuals were inducted, 74 of them had stenting of left main bifurcation using a 1-S approach; and 36 patients underwent a 2-S PCI. Average age of the patients included in the study was 63.9±10.8 years. In 1 stent subset, the success rate of procedure was 99% whereas 100% success rate was seen in 2-S group. During the 2-year duration of follow up, frequency of MACE in single stent subset was (5.4%) whereas it was (13.8%, p=0.253) in the 2-S subset. Conclusion: When compared to 2-S approach of distal left main stenting, a 1-S strategy appears to demonstrate optimal clinical results and 2-year survival free of MACE. Choosing appropriate interventional strategy has proven prognostically significant; so, it demands mindful approach selection. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje