Key result
PCI with second-generation DES successfully treats 70% ostial LM stenosis in a middle-aged male.
Case Report (n=1)
This case report illustrates the successful use of PCI with a second-generation drug-eluting stent for ostial left main disease in a patient presenting with severe chest pain.
Supports PCI feasibility with second-generation DES for ostial left main stenosis; leaves open comparative effectiveness versus CABG.
The hospital emergency admitted a middle-aged male who had previously undergone stenting in the left anterior descending (LAD) and right coronary arteries due to severe central chest pain radiating to both arms. A two-dimensional color Doppler echocardiogram showed septal hypokinesia, and coronary angiography showed a 70% ostial left main (LM) stenosis. The LAD coronary artery had a patent stent, but the mid-right coronary artery had a totally occluded stent. The chest pain increased during coronary angiography, and the patient consented to percutaneous coronary intervention (PCI) with a second-generation drug-eluting stent. The patient was discharged in a stable condition. The evolution and the current approach of PCI compared to coronary artery bypass grafting surgery for LM coronary disease based on randomized trials are discussed.
No takes yet. Share an insight, caveat, or question.
Deepak Natarajan (2024) conducted a case report in Ostial left main coronary disease (n=1). Percutaneous coronary intervention (PCI) with a second-generation drug-eluting stent was evaluated. Percutaneous coronary intervention using a second-generation drug-eluting stent was successfully performed in a middle-aged male with 70% ostial left main stenosis, leading to stable discharge.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: