Distal left main coronany stem lesion managed by intervententional crush technique

ABSTRACT

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