Nhận xét kết quả can thiệp thân chung động mạch vành trái tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To evaluate the safety and effectiveness of percutaneous intervention of left main coronary artery at 108 Military Central Hospital. Subject and method: We included 93 patients with confirmed diagnosis of left main coronary artery stenosis and had indications for percutaneous coronary intervention. All anthropometric, clinical and angiographic data were extracted from the Hospital's electronic database system. Major cardiovascular events were recorded through patient history records or telephone interviews. Result: The mean age of the patients was 71.30 ± 8.31 years old, in which male accounted for 79.6%. The most frequent cardiovascular risk factor was hypertension. Clinical presentation: Stable angina (30.6%), unstable angina (19.3%), non-ST-segment elevation MI (26.2%), and acute myocardial infarction with ST elevation (22.2%). The most common lesions were at the bifurcation (62%), patients were mainly intervened through the radial artery (71%), and single stent strategy accounted for 44.1%. During the hospital stay, there were 2 deaths (2.2%), 1 case of stent thrombosis (1%) and after 30 days of follow-up, there were 2 more deaths and 1 case of gastroenterology bleeding. Conclusion: Percutaneous left main intervention is a safe and effective method of treatment with low mortality and stent thrombosis rate.