Sarma VRSS, Gopalakrishna K, Purnachandra Rao K, Somasekahr G, Chowdary PSS, Raghuram P, Boochibabu M, Sasidhar Y, Prasad M, Karthik. A study of unprotected left main intervention in the ACS population 2013-2018.
Indian Heart J 2021;
73:492-496. [PMID:
34474764 PMCID:
PMC8424267 DOI:
10.1016/j.ihj.2021.06.010]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2020] [Revised: 12/19/2020] [Accepted: 06/20/2021] [Indexed: 01/09/2023] Open
Abstract
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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