Tactics Optimization of Percutaneous Coronary Intervention in the Area of Bifurcation of the Anterior Descending Artery by Means of Cardiography from the Coronary Sinus: A Recent Study

Leonidovich, Shevchenko Yury and Yuryevich, Ermakov Dmitry (2021) Tactics Optimization of Percutaneous Coronary Intervention in the Area of Bifurcation of the Anterior Descending Artery by Means of Cardiography from the Coronary Sinus: A Recent Study. In: Highlights on Medicine and Medical Science Vol. 15. B P International, pp. 32-44. ISBN 978-93-91473-90-7

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Abstract

Background: Bifurcation stenosis of the coronary arteries is referred to as a “complicated” lesion from the viewpoint of the interventional treatment of CHD, and accounts for 15-20% of the total number of atherosclerotic lesions of the coronary bed. The most notable shortcoming of the existing methods of bifurcation stenting is an extensive local “metallization” of a stented artery due to applying one stent to another, in addition to the disturbance of the safety of the polymer-drug layer of stents during operations.

Aim: The aim of this investigation is to evaluate the possibilities of the method of cardiography from the coronary sinus (ECG-CS) in optimization of stenting bifurcation lesions (BL) of coronary arteries (CA).

Materials and Methods: 43 patients with stable CHD with pseudo-BL of the anterior descending artery (ADA) were included in this investigation. We placed a 10-canal electrode into their coronary sinus at the beginning of percutaneous coronary intervention (PCI). Ischemic guidance was done with the WorkMate electrophysiological recording system.

Results: In 11 patients (25%) out of 43 with CHD, the diagonal branch (DB) comprometation and ischemia dynamics (p<0.05) in intracardiac lead (CS 3-4) after ADA stenting were discovered according to ECG-CS. Nine patients (20.9%) underwent successful provisional-T-stenting, while a second stent was required for the other 2 patients.

Conclusion: ECG-CS provides the possibility to optimize coronary intervention in the area of CA bifurcation.

Item Type: Book Section
Subjects: Science Global Plos > Medical Science
Depositing User: Unnamed user with email support@science.globalplos.com
Date Deposited: 01 Nov 2023 05:34
Last Modified: 01 Nov 2023 05:34
URI: http://ebooks.manu2sent.com/id/eprint/1904

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