The First 11 Cases of the Unprotected Left Main Coronary Artery Stenting in Maharat Nakhon Ratchasima Hospital: Personal Experience.
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Abstract
Abstract: Background: The medical treatment for unprotected left main coronary disease has poor outcome. Percutaneous coronary intervention (PCI) with stenting of the left main coronary artery is feasible in some selected cases. Objectives: This study was performed to evaluate the clinical result of left main coronary stenting in selected cases. Method and result: Eleven cases of symptomatic left main coronary artery disease were diagnosed and treated with stenting during June 2000 to August 2005. The procedure success rate was 100% and mortality rate was zero percent. There was only one patient having restenosis diagnosed on the third month of coronary angiographic protocol after PCI without any clinical symptom and revascularization was successful. No serious complication occurred. All patients have still survived with better quality of life. Conclusion: Stenting for unprotected left main coronary artery disease can be performed in the selected cases by experienced interventionist with very high success rate and no mortality rate. Further studies are needed to evaluate the role of drug eluting stent for the left main coronary artery stenosis.
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