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Stenting of Unprotected Left Main Coronary Artery Stenoses: Immediate and six months Outcomes | ||
| kufa Journal for Nursing sciences | ||
| Article 1, Volume 5, Issue 3, 2015, Pages 65-71 | ||
| Authors | ||
| Hikmat Al-Shaarbaf; Ali Jabbar Al-Ibrahemi; Khalid I. Amber | ||
| Abstract | ||
| Background: Revascularization with coronary bypass grafting (CABG) has been the gold standard therapy forleft main coronary artery ( LMCA) stenosis. Improvements in angioplasty and coronary stent techniques and equipment warrant a reappraisal of angioplasty in LMCA stenosis. Objectives: To assess in-hospital and six-month clinical outcomes after stenting of unprotected left main coronary artery (LMCA) stenosis. Methods:Prospective study in a tertiary center of interventional cardiology and cardiac surgery for64 patients with unprotected LMCA stenoseswho were treated with bare-metal stents and underwent angiographic follow-up at 3 and months following the intervention. Results: The procedural success rate was 100% with no episodes of acute orsubacute stent thrombosis. in-stent restenosis rate was 15.6% and 15.9% in the first 3 and 6 months respectively. Six month mortality was nil. Conclusion: Stenting of unprotected LMCA stenosis deserves to be considered a safe and effective alternative to CABG in carefully selected patients Recommendation: Larger series should clarify whether unprotected LMCA stenting has the same favourable results as CABG . | ||
| Keywords | ||
| left main coronary artery stenting | ||
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