Percutaneous coronary interventions in patients with last remaining vessel disease
Bulletin of Alexandria Faculty of Medicine. 2007; 43 (2): 339-343
in English
| IMEMR
| ID: emr-105850
ABSTRACT
High-risk patients especially those with severe left ventricular dysfunction and having last single remaining vessel [SRV] for percutaneous coronary intervention [PCI] were excluded from all randomized trials. To evaluate the feasibility of PCI and long-term follow-up of these patients with last SRV. Between October 2000 and September 2005, 42 patients who consecutively underwent PCI in our center and fulfilled the criteria of SRV were followed-up for 2 years. The in-hospital outcome was excellent without any Major Adverse Cardiac Events [MACE]. At 30-day, 4.8% died suddenly and 2.4% had non-fatal non-Q wave Myocardial Infarction [MI] leaving us with 7.1% total MACE. The long term follow-up showed excellent results with a total MACE of 25% Cardiac death of 8.3%, non cardiac [5.5%], and Target vessel Revasculariation [TVR] was 11.1%. At 2 years, those who died showed significantly more depressed systolic function, they were all diabetics [DM] and needed more than one stent than those who survived. Ejection fraction [EF] was 24.5 +/- 5.1 vs 35.2 +/- 7.9, P=0.006, DM, 100% vs 64.5%, P=0.109, and 100%vs 19.4%, P=0.0002 consecutively. The data show that PCI in last SRV is feasible, safe with an acceptable 30-days and 2 years mortality rate
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Postoperative Complications
/
Quality of Life
/
Follow-Up Studies
/
Ventricular Function, Left
/
Coronary Angiography
/
Myocardial Revascularization
Type of study:
Controlled clinical trial
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Bull. Alex. Fac. Med.
Year:
2007
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