Long Term Outcome of Percutaneous Coronary Intervention for Left Main Coronary Artery Disease in AlNajaf Cardiac Centre

Abstract

Objective: To investigate the safety and outcome of percutaneous coronary intervention for unprotected left main coronary artery disease in Al Najaf Cardiac center with comparison outcome between single provisional stent and double stents technique.
Method: Between January 2014 and Jan 2016, 258 patients enrolled in this study whose diagnosed with left main coronary artery disease and refused coronary artery bypass graft surgery in Al Najaf cardiac centre and other centers. Data including clinical course, angiographic characteristics, and 1- and 3-years outcomes were recorded and analyzed.
Result: The major finding of the study including cardiac death, target lesion revascularization, stroke and MACCE was demonstrated in post procedure, 12 mn and 3 yr, as nine patients died from 258 pt. (6 pt. due to cardiac cause), target lesion revascularization (1.55 -3.9%), MACCE (3.1- 8.14 %). In comparison to double stent (DS), single stent (SS) had been better outcome than DS in this of study.
Conclusion: Percutaneous treatment for unprotected left main stem diseased with DES has good 12mn and 3years term outcome so it is safe and feasible in patients with unfit for surgery or high risk and refused surgery. Provisional single stent for unprotected left main stem has been better out come when is compared with double stent technique.