Abstract
Objective: To determine the frequency of outcomes of left main stem
percutaneous coronary intervention.
Methodology: After approval from the local ethical committee a
descriptive study was conducted in Ch Parvez Elahi Institute of Cardiology
Multan from January 2015 to June 2019. This study included 34 patients
with unprotected left main stem (LMS) requiring percutaneous coronary
intervention as decided in heart team meeting. Follow up data was taken
during hospital stay and at 3 months after the index procedure for major
adverse cardiac events MACE that were defined as death, myocardial
infarction, repeat revascularization and stent thrombosis.
Results: Mean age of the patient was 56.8 ±6.6. Males were 30 (88.2%)
and females 4 (11.8%). Death was observed in 3 (8.8%), MI in 2 (5.88%),
stent thrombosis 2 (5.88%) and repeat revascularization in 1 (2.98%).
Composite of all was seen 8 (23.5%)
Conclusion: Left main stem PCI is associated with favorable clinical
outcomes in patients having less complex disease and high surgical risk.
The local experience is encouraging and at par with existing data.
Kashif Javed, Nauman Ali, Mubasher Ali Khan Shervani, Tariq Abbas, Ikram Farid, Jehan Zab. (2021) Left Main Stem Percutaneous Coronary Intervention Outcomes: An Experence At Chaudhry Pervez Elahi Institute Of Cardiology Multan, Pakistan Heart Journal, Volume-54, Issue-1.
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