Key result
In patients with ACS and multivessel or left main disease, percutaneous coronary intervention achieved 98.3% procedural success with a 2.4% rate of major in-hospital cardiovascular events.
Why the study?
There is an increasing number of ACS patients with multivessel and/or left main coronary artery disease in Vietnam, and the SYNTAX score is valuable for risk stratification and guiding revascularization decisions in these patients.
Observational (n=121)
No
PCI for ACS patients with three-vessel or left main coronary artery disease demonstrated high procedural success and low in-hospital mortality in a Vietnamese cohort.
Background: Many studies in Vietnam have shown that there is an increasing number of patients hospitalized due to acute coronary syndrome (ACS) with multivessel stenosis and/or with left main stenosis. The SYNTAX score based on the results of percutaneous coronary angiography is valuable for risk stratification of patients requiring coronary revascularization, especially for those with multivessel coronary artery disease, then optimizing the clinicians’ decision on percutaneous coronary intervention or bypass surgery for these patients. This study aims to: (1) investigate some clinical characteristics of ACS patients with multivessel and/or left main coronary artery disease (LMCAD); (2) characterize coronary artery lesions according to SYNTAX score by the results of percutaneous coronary angiography; and (3) evaluate intervention outcomes and in - hospital outcomes of these patients treated by percutaneous coronary intervention. Methods: 121 patients with three - vessel and/or LMCAD treated at 115 People’s Hospital in Ho Chi Minh city, from July 2019 to July 2020. Research design: retrospective; collecting clinical characteristics, and coronary intervention results during the in - hospital stay. Results: Mean age 66.03 ± 11.84, male/female ratio 3/1; average total coronary lesions 3.1 ± 1.2 lesions in left anterior descending (LAD) and right coronary artery (RCA), mean SYNTAX score 27.7 ± 6.21; Short - term intervention outcomes: anatomical success 99.2%, procedural success 98.34%, major in - hospital main cardiovascular events including fatal death and other - causes mortality during hospitalization was 2.4%, the cumulative intra - and post - procedure complications was 8.2%.
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A 2023 study conducted an observational in Acute coronary syndrome with three-vessel and/or left main coronary artery disease (n=121). Percutaneous coronary intervention was evaluated on Major in-hospital cardiovascular events (including fatal death and other-causes mortality). In patients with ACS and multivessel or left main disease, percutaneous coronary intervention achieved 98.3% procedural success with a 2.4% rate of major in-hospital cardiovascular events.
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