Distal left main coronany stem lesion managed by intervententional crush technique

Intervententional Crush might end high rates of restenosis. Studying immediate and late outcome of crush technique in distal left main stem lesion intervention. [40] patient had crush technique intervention method for management of LMS lesions, [15] patients done as primary PCI method, while [25] patients as elective management. A total of 40 patients with distal left main stem lesion included in our study, their age range between 45-75 years with a mean +/- SD of 59 +/- 4.5 years, 25 were male, 15 female. One patient died in one year follow up because of noncompliance for medication. One patient had ISR treated by drug eluted balloon. Two patients lost follow up after 2 months. 25 patients [62.5%] had more than one significant lesion, 9 patients [22.5%] had low ejection fraction at time of intervention, functional MR were reported in 5 [12.5%] of patients. All ischemic chest pain disappeared after interventional procedure. LMS crush technique is favorable alternative method for the management of LMS especially in patients unable to do CABG

Primary percutaneous coronary intervention for acute myocardial infarction in Ibn Alnafees hospital, Baghdad

Primary percutaneous coronary intervention [PCI] provides outcomes superior to fibrinolytic therapy in acute myocardial infarction [AMI], but no registry or study in Iraq has demonstrated its use in hospital. To evaluate using of primary PCI for acute MI in Ibn Alnafees hospital -Baghdad. Patients between 2010 and march 2013 having symptom onset within 12 hours and either ST-segment elevation of - 1 mm in - 2 contiguous leads or presumed new left bundle branch block [LBBB] in electrocardiogram [ECG] who were treated with primary PCI were included in this study. Two patient had cardiogenic shock treated within 16 hours. A total of 76 patient included in this study having primary PCI for acute MI. successful result reported in 71 of cases, while death reported in 2 cases, slow flow in 2 cases, no re flow in one case and stent thrombus formation in one case. No need for urgent or elective CABG. Primary PCI for patients with AMI having ST-elevation or new LBBB is a safe and effective strategy