Lots of interesting abstracts and cases were submitted for TCTAP & AP VALVES 2020 Virtual. Below are accepted ones after thoroughly reviewed by our official reviewers. Don¡¯t miss the opportunity to explore your knowledge and interact with authors as well as virtual participants by sharing your opinion!
* The E-Science Station is well-optimized for PC.
We highly recommend you use a desktop computer or laptop to browse E-posters.
ABS20191016_0003
| Bifurcation/Left Main Diseases and Intervention | |
| Outcomes of Percutaneous Coronary Intervention of Left Main Coronary Artery Disease in Mongolia | |
| Khuyag Batmyagmar1, Surenjav Chimed2, Lkhagvasuren Zundui3 | |
| Intermed Hospital, Mongolia1, Leiden University Medical Center, Netherlands2, Third State Central Hospital, Mongolia3 | |
|
Background:
The left main (LM) bifurcational stenting is a complex high-risk percutaneous coronary intervention (CHIP) which is associated with various post procedural outcomes. In this study, we described current practice of left main stenting and patient outcomes in Mongolia.
|
|
|
Methods:
We selected patients who received LM bifurcational stent. Lesion severity was evaluated by Medina classification and SYNTAX score. We examined survival rate using Kaplan-Meier estimation.
|
|
|
Results:
A total of 50 patients who received LM bifurcational stent were chosen (mean age 60¡¾11, male gender 78%). Mean Syntax I score was 26.1¡¾8.6 and mean Syntax II score was 44.7¡¾6.2. Medina 110 type lesion was 46% (n=23), medina 111 type lesion was 36%(n=18), medina 100 type lesion was 6% (n=3), medina 011 type lesion was 4%(n=2) and medina 010 type lesion was 8% (n=4). The median degree of stenosis was 50% (IQR 30%; 90%) for LM, 90% (IQR 80%; 99%) for LAD and 0% (IQR 0%; 80%) for LCx. The final procedural success with final TIMI 3 flow was achieved in 44 patients (88%). All-cause mortality was occurred in 5 patients during follow-up and survival rate at 1 year was 72% (95% CI 66; 97) (Figure 1). Patients with final TIMI 3 flow and SYNTAX score less than 32 were had better survival rate compared with others. However, difference was not statistically significant (Figure 2 and Figure 3).
   |
|
|
Conclusion:
The LM bifurcational stenting is acceptable treatment choice which has good survival for high risk patients with significant LM coronary artery disease in Mongolia.
|
|
1