Early outcome of bifurcational coronary artery stenting

Abstract EN

Background : Bifurcational coronary lesions are frequent and amounts to almost one fifth of routine practice concerning up to 15–20 % of cases.

Revascularization by percutaneous coronary intervention (PCI), of bifurcation lesion has become easier by stenting yet it remains a frequent challenge Objective : to evaluate the success and hospital complications of two most frequent technique of stent deployment in bifurcational PCI.

Methods : we prospectively analysed the data of 140 consecutive patients with bifurcation AL PCI at Ibn_Al-Bitar Hospital for cardiac surgery for the period from July 2008 to July 2009 Depending on whether the side branch was stented or not, the patient has fallen into two groups : Group A ; stenting of the main vessel and angioplasty of the branch.

Group B; stenting of both main vessel and its branch.

The early outcome of the bifurcational PCI and all complications during hospitalization that include ; death, acute Myocardial infarction, emergency percutaneous treatment and coronary artery bypass graft (CABG) were evaluated in the studied groups.

Results : the studied sample consisted of 140 patients, 107(76.3 %)were male and 33(23.7 %) were female.

Group A consisted of 90 patients (64.3 %) while group B consisted of 50 patients (35.7 %).Acute procedural success was (94.2 %) in group A and (80 %) in group B while hospital major adverse cardiac event (MACE) were noted in 3.8 % of group A and 20 % of group B,(PV = 0.04 Conclusion : in bifurcation AL PCI stenting of the side branch has made no extra advantage in term of procedural success and early outcome.