Why the study?
The study was conducted to assess clinical outcomes after left main coronary stenting using clinical evaluation, angiography, and fractional flow reserve.
In a single-center prospective observational study, FFR-guided LMCA stenting in acute coronary syndrome demonstrated an 8.33% mortality rate at 6 months, with lower event rates in single vessel and ostial disease.
FFR-guided LMCA stenting in ACS shows feasible outcomes; leaves open whether it improves events versus angiography alone.
The present study assesses the clinical outcomes after left main coronary stenting, using clinical evaluation, angiography, and Fractional Flow Reserve (FFR). A prospective observational study was conducted on 72 patients undergoing left main coronary artery (LMCA) stenting, transthoracic echocardiography, coronary angiography, and percutaneous coronary intervention were done and FFR was recorded. At the end of 6 months, follow up check angiography, FFR study were performed. The stent was placed from LMCA to left anterior descending artery (LAD) artery among 45.83% of patients and 9.72% had from LMCA to Left circumflex artery. The mortality rate was 8.33%. The fractional flow reserve was 0.81 on an average ranging from 0.58 to 0.90. Relatively low incidence of major cardiac event was noted among patients with single vessel disease and ostial LMCA disease.
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Ahire et al. (2021) studied this question.
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