Safety of Longer Size Stent in Treating De-Novo Long Coronary Lesion: Outcome at 1.5 Years Follow-Up, A Single Center Experience

  • AHM Waliul Islam Associate Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Shams Munwar Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Azfar H Bhuiyan Specialist, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • AQM Reza Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Sahabuddin Talukder Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Tamzeed Ahmed Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Nighat Islam Senior Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Atique Bin Siddique Senior Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Intekhab Yousuf Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • Zia Ur Rahman Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
  • MS Alam Specialist, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka
Keywords: CAG, PTCA, PCI, DES, Long lesion, Stents

Abstract

Background: Percutaneous coronary intervention (PCI) of long lesions by long single stent or overlapping multiple stent might have higher incidences of ISR due to increased metal burden as well as coronary intervention increase cost of hospital stay. Therefore, our primary aim of our study was to evaluate the longterm safety of treating long lesion by a single longer size stent and its follow-up by coronary angiogram and or clinical evaluation at our OPD.

Methods: patient who had gone through PCI from the year 2014 to mid Oct 2017 at our center, had longer lesion and were treated by more than 38mmstent were selected and analyzed. Total 255(Male 213: Female 42) patients were enrolled in this study, underwent elective PCI and follow up CAG at on average 1.5 yrs. Total 267 stents were deployed in 255 patients, in some of the patient had double vessel disease to treat. Mean age for both male: female was(55 :56) yrs. Associated Coronary artery disease (CAD) risk factors were Dyslipidemia, Hypertension, Diabetes Mellitus, Positive FH for CAD and Smoking (all male), CKD, Hypothyroidism.

Results: Among the study group; 192 (75.3 %) were hypertensive; 189(74.1%) were Dyslipidemic, 126(49.4%) patients were Diabetic, positive FH 74(29.4 %), CKD 8 (3.1%), Hypothyroidism 2 (0.8%) and 104(40.8%) were all male smoker. Common stented territory was, LAD 126(49.4%), RCA 115(45.1%), and LCX 24(9.4%).Among the total patient population, Single vessel stented were 236 (92.5%) and DVD 19 (7.5%). Total 267 stents were deployed, among them 48mm were in total 159 (59.6%); among 40 mm were stented in 61(22.8%) and 38 mm in 47(17.6%) vessels. At an average follow-up period of 1.5 years, all stented territory remain patent without any residual stenosis.

Conclusion: We conclude that treating de-novo coronary long lesion by a single longer size stent is safe without any residual stenosis at an average followup period of 1.5 yrs. Thus, to reduce chances of recurrent ISR, hospital re-admission and reduce hospital cost as well.

Bangladesh Heart Journal 2018; 33(2) : 106-111

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Author Biographies

AHM Waliul Islam, Associate Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Shams Munwar, Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Azfar H Bhuiyan, Specialist, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

AQM Reza, Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Sahabuddin Talukder, Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Tamzeed Ahmed, Senior Consultant, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Nighat Islam, Senior Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Atique Bin Siddique, Senior Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Intekhab Yousuf, Registrar, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Zia Ur Rahman, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

MS Alam, Specialist, Dept. of Invasive and Interventional Cardiology, Apollo Hospitals Dhaka

Dept. of Invasive and Interventional Cardiology

Published
2018-12-28
How to Cite
Islam, A., Munwar, S., Bhuiyan, A., Reza, A., Talukder, S., Ahmed, T., Islam, N., Siddique, A., Yousuf, I., Rahman, Z., & Alam, M. (2018). Safety of Longer Size Stent in Treating De-Novo Long Coronary Lesion: Outcome at 1.5 Years Follow-Up, A Single Center Experience. Bangladesh Heart Journal, 33(2), 106-111. https://doi.org/10.3329/bhj.v33i2.39306
Section
Original Articles