Background: From the perspective of interventional CHD treatment, bifurcation stenosis of the coronary arteries is referred to as a "difficult" lesion, accounting for 15-20% of the total number of atherosclerotic lesions of the coronary bed. The most obvious disadvantage of current bifurcation stenting methods is considerable local “metallization” of a stented artery as a result of putting one stent to another, as well as the disruption of the polymer-drug layer of stents during operations.
The goal of this study is to see how well the method of cardiography from the
coronary sinus (ECG-CS) can help with stenting bifurcation lesions (BL) in the
coronary arteries (CA).
Materials and Procedures: This study
comprised 43 individuals with stable CHD with pseudo-BL of the anterior
descending artery (ADA). At the start of percutaneous coronary intervention, we
inserted a 10-canal electrode into their coronary sinus (PCI). The WorkMate
electrophysiological recording equipment was used for ischemic guiding.
According to ECG-CS, the diagonal branch (DB) comprometation and ischemia
dynamics (p0.05) in intracardiac lead (CS 3-4) after ADA stenting were
discovered in 11 patients (25%) out of 43 with CHD. The provisional-T-stenting
of nine patients (20.9 percent) was effective, whereas the other two patients
required a second stent.
Author (s) Details
Shevchenko Yury Leonidovich
St.George Clinic of Thorasic and Cardiovascular Surgery, Pirogov National Medical and Surgical Center, The Russian Federation, Moscow, Russia.
Ermakov Dmitry Yuryevich
St.George Clinic of Thorasic and Cardiovascular Surgery, Pirogov National Medical and Surgical Center, The Russian Federation, Moscow, Russia.
View Book :- https://stm.bookpi.org/HMMS-V15/article/view/2467
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