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Effectiveness of using dual stent to intervene true left main coronary artery bifurcation lesions
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Abstract
Abstract: Lesions at the bifurcation of the left main coronary artery are dangerous lesions that account for approximately 4–8% of CAD (coronary artery disease) cases. In Vietnam, dual stent percutaneous coronary intervention has been used to treat true left main stem coronary artery bifurcation lesions, but there is no study that summarizes the recent results and evaluates them after a follow-up period. Consequently, we conducted this study.
Research objectives: Effectiveness of using dual stent to intervene true left main coronary artery bifurcation lesions.[1]
Objects and research methods: Crossectional study, review of all patients who received LMCA bifurcation lesions interventional stenting with dual stent at Hanoi Heart Hospital from 1/2018 to 6/2020.
Research results: The rate of major cardiovascular events was determined as follow: 1 patient died during hospital stay; 18% of patients had at least one major cardiovascular event during the 12-month follow-up period; 3 patients had cerebrovascular accidents, which accounted for 6%; 3 patients had acute myocardial infarction, which accounted for 6%; and 2 patients had acute myocardial infarction, which accounted for 6%. Two patients require revascularization, representing 4% of the total population.
Article Details
Keywords
Coronary artery disease, Bifurcation, Two-stent technique, Left main stem, Stent, Syntax score
References
2. Dương Thu Anh (2009). Study on the effectiveness of percutaneous interventional treatment for damage to the left coronary artery. Hanoi Medical University
3. Hồ Minh Tuấn (2017). Short- and Intermediate-Term Clinical Outcome After Drug-Eluting Stent Implantation for the Percutaneous Treatment of Left Main Coronary Artery OR Multi-Vessel Disease. Truy cập ngày 17/05/2023, URL: https://timmachhoc.vn/nghien-cuu-ket-qua-lam-sang-ngan-va-trung-han-o-benh-nhan-hep-than-chung-trai-hoac-nhieu-nhanh-mach-vanh-duoc-dat-stent-phu-thuoc/ .
4. Khổng Nam Hương (2013). The role of intravascular ultrasound (IVUS) in guidance of percutaneous left main coronary artery intervention. Journal of Vietnamese Cardiology. Số 64., Tr.1–8
5. Head SJ, Davierwala PM, Serruys PW, Redwood SR, Colombo A, Mack MJ, et al. (2014). Coronary artery bypass grafting vs. percutaneous coronary intervention for patients with three-vessel disease: final five-year follow-up of the SYNTAX trial. Eur Heart J. Số 35.(40), Tr.2821–30
6. Buszman PE, Buszman PP, Kiesz RS, Bochenek A, Trela B, Konkolewska M, et al. (2009). Early and long-term results of unprotected left main coronary artery stenting: the LE MANS (Left Main Coronary Artery Stenting) registry. J Am Coll Cardiol. Số 54.(16), Tr.1500–11
7. Hildick-Smith D, Egred M, Banning A, Brunel P, Ferenc M, Hovasse T, et al. (2021). The European bifurcation club Left Main Coronary Stent study: a randomized comparison of stepwise provisional vs. systematic dual stenting strategies (EBC MAIN). Eur Heart J. Số 42.(37), Tr.3829–39
8. Vaquerizo B, Lefèvre T, Darremont O, Silvestri M, Louvard Y, Leymarie JL, et al. (2009). Unprotected left main stenting in the real world: two-year outcomes of the French left main taxus registry. Circulation. Số 119.(17), Tr.2349–56
9. Neumann F-J, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. (2019). 2018 ESC/EACTS Guidelines on myocardial revascularization. EuroIntervention. Số 14.(14), Tr.1435–534
10. Tan WA, Tamai H, Park SJ, Plokker HW, Nobuyoshi M, Suzuki T, et al. (2001). Long-term clinical outcomes after unprotected left main trunk percutaneous revascularization in 279 patients. Circulation. Số 104.(14), Tr.1609–14
11. Wang J, Guan C, Chen J, Dou K, Tang Y, Yang W, et al. (2020). Validation of bifurcation DEFINITION criteria and comparison of stenting strategies in true left main bifurcation lesions. Sci Rep. Số 10.(1), Tr.10461
12. Colombo IM Antonio, editor (2013). Tips and Tricks in Interventional Therapy of Coronary Bifurcation Lesions. CRC Press, London.