A study of unprotected left main intervention in the ACS population 2013–2018

Autor: Venkata R.S. Subrahmanya Sarma, MD DM, K. Gopalakrishna, MD DM, K. Purnachandra rao, MD DM, G. Somasekahr, MD DM, P.S.S. Chowdary, MD DM, P. Raghuram, MD DM, M. Boochibabu, MD DM, Y. Sasidhar, MBBS, M. Prasad, MBBS, Karthik
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Indian Heart Journal, Vol 73, Iss 4, Pp 492-496 (2021)
Druh dokumentu: article
ISSN: 0019-4832
DOI: 10.1016/j.ihj.2021.06.010
Popis: Objectives: Our objectives were to evaluate the outcomes of left main percutaneous coronary interventions in Acute Coronary Syndrome population. Methods: This is a retrospective& observational study. Primary endpoint is a composite of death, stent thrombosis/MI, target lesion revascularization. Secondary endpoints include individual components of the primary events analyzed separately. Results: Seventy five patients, two year follow – up data was analyzed. The primary event analysis showed that the Elective Double Stent (EDS) group had a higher primary events (36% vs. 14%, p value – 0.008, Hazard ratio – 0.76 (0.51–1.15, 95% CI), in secondary event analysis stent thrombosis (ST)/Myocardial infarction (MI) rates were higher in EDS group (8% Vs 36%, p Value – 0.008, Hazard ratio- 0.63(0.35–1.14, 95%CI), there is no difference in target lesion revascularization (TLR)and death rates in both the groups. Conclusions: The provisional strategy is better than EDS in treatment of left main bifurcation lesions in the ACS population.
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