Sj. Park et al., Stent placement for ostial left anterior descending coronary artery stenosis: Acute and long-term (2-year) results, CATHET C IN, 49(3), 2000, pp. 267-271
This study was performed to assess the acute and long-term results of elect
ive stenting for the treatment of ostial left anterior descending coronary
artery (LAD) stenosis. One hundred and eleven consecutive patients with ost
ial LAD stenting were included for this study. Follow-up angiography was pe
rformed at 6 months and clinical evaluation at regular intervals after sten
ting, Procedural success rate was 97.3%. Four patients developed non-Q myoc
ardial 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. Tw
o patients died during the follow-up, Event-free survival rate was 84.6 +/-
3.8%, In conclusions, stenting with or without debulking atherectomy may b
e considered as an acceptable therapeutic option for the treatment of ostia
l LAD stenosis, (C) 2000 Wiley-Liss, Inc.