Stent placement for ostial left anterior descending coronary artery stenosis

Acute and long-term (2-year) results

Seung Jung Park, Cheol Whan Lee, Myeongki Hong, Jae Joong Kim, Seong Wook Park

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

This study was performed to assess the acute and long-term results of elective stenting for the treatment of ostial left anterior descending coronary artery (LAD) stenosis. One hundred and eleven consecutive patients with ostial LAD stenting were included for this study. Follow-up angiography was performed at 6 months and clinical evaluation at regular intervals after stenting. Procedural success rate was 97.3%. Four patients developed non-Q myocardial infarction and one patient underwent emergency bypass surgery due to a large dissection after stenting. Angiographic restenosis rate was 26.1% (18/69), and target lesion revascularization rate 11.7%. The final luminal diameter after stenting was the only predictor of angiographic restenosis. Clinical follow-up was obtained in all patients at 21.5 ± 16.0 months. Two patients died during the follow-up. Event-free survival rate was 84.6 ± 3.8%. In conclusions, stenting with or without debulking atherectomy may be considered as an acceptable therapeutic option for the treatment of ostial LAD stenosis. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish
Pages (from-to)267-271
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume49
Issue number3
DOIs
Publication statusPublished - 2000 Mar 16

Fingerprint

Coronary Stenosis
Stents
Atherectomy
Disease-Free Survival
Dissection
Angiography
Pathologic Constriction
Emergencies
Therapeutics
Survival Rate
Myocardial Infarction

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "Stent placement for ostial left anterior descending coronary artery stenosis: Acute and long-term (2-year) results",
abstract = "This study was performed to assess the acute and long-term results of elective stenting for the treatment of ostial left anterior descending coronary artery (LAD) stenosis. One hundred and eleven consecutive patients with ostial LAD stenting were included for this study. Follow-up angiography was performed at 6 months and clinical evaluation at regular intervals after stenting. Procedural success rate was 97.3{\%}. Four patients developed non-Q myocardial infarction and one patient underwent emergency bypass surgery due to a large dissection after stenting. Angiographic restenosis rate was 26.1{\%} (18/69), and target lesion revascularization rate 11.7{\%}. The final luminal diameter after stenting was the only predictor of angiographic restenosis. Clinical follow-up was obtained in all patients at 21.5 ± 16.0 months. Two patients died during the follow-up. Event-free survival rate was 84.6 ± 3.8{\%}. In conclusions, stenting with or without debulking atherectomy may be considered as an acceptable therapeutic option for the treatment of ostial LAD stenosis. (C) 2000 Wiley-Liss, Inc.",
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Stent placement for ostial left anterior descending coronary artery stenosis : Acute and long-term (2-year) results. / Park, Seung Jung; Lee, Cheol Whan; Hong, Myeongki; Kim, Jae Joong; Park, Seong Wook.

In: Catheterization and Cardiovascular Interventions, Vol. 49, No. 3, 16.03.2000, p. 267-271.

Research output: Contribution to journalArticle

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