Outcomes of percutaneous coronary intervention of coronary left main disease
- VernacularTitle:Зүүн титмийн багана хэсгийн нарийслын судсан дотуурх мэс засал эмчилгээний үр дүн
- Author:
Batmyagmar Khuyag
1
;
Surenjav Chimed
2
;
Lkhagvasuren Zundui
2
Author Information
1. Department of Cardiology, First State Central Hospital, Ulaanbaatar, Mongolia
2. Department of Angiography, Third State Central Hospital, Ulaanbaatar, Mongolia
- Publication Type:Journal Article
- Keywords:
LM bifurcational stenosis;
Medina score;
percutaneous coronary intervention;
Syntax score;
TIMI flow grade
- From:Mongolian Medical Sciences
2019;190(4):14-18
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction :The left main (LM) bifurcational stenting is coronary high risk interventional procedure (CHIP) which
associated with various post procedural outcome.
Goal:In this study, we aimed to describe current practice of coronary left main bifurcational stenting and
patient’s outcome in Mongolia.
Materials and Methods:We selected 50 patients who gave informed consent and treated by left main bifurcational stent. All
the patients gave informed consent form which was approved by ethical committee of Mongolian
National University of Medical Sciences. Coronary stenosis was evaluated by Syntax score and
Medina classification. The 1 year survival rate was estimated using Kaplan-Meier estimation.
Results :A total of 50 patients who received LM bifurcational stent were chosen (mean age 60±11, male
gender 78%). Mean syntax I score was 26.1±8.6 and mean Syntax II score was 44.7±6.2. Medina
110 type lesion was 46% (n=23), medina 111 type lesion was 36% (n=18), medina 100 type lesion
was 6% (n=3), medina 011 type lesion was 4% (n=2) and medina 010 type lesion was 8% (n=4).
The median degree of stenosis was 50% (IQR 30%; 90%) for LM, 90% (IQR 80%; 99%) for LAD and
0% (IQR 0%; 80%) for LCx. The final procedural success with final TIMI 3 flow was achieved in 44
patients (88%). All-cause mortality was occurred 5 patients during follow-up and survival rate at the
1 year was 82% (95% CI 66; 97).
Conclusion :The bifurcational stenting is acceptable treatment choice which has good survival for high risk patients
with LM bifurcational disease.
- Full text:2019-190(4)-14-18.pdf
