Cor Vasa 2023, 65(3):468-476 | DOI: 10.33678/cor.2022.101

The clinical and angiographic impact of intravascular ultrasound guided stenting of unprotected left main and proximal left anterior descending coronary artery. A prospective randomized controlled study in Egypt

Noha Hassanin Hanbolya, Yasser Mohamed Kamel Baghdadya, Mostafa Mokhtar Mostafaa, Assem Abdelaziz Fahmy Hashada, Yasser Ahmed Sadekb
a Cardiovascular Department, Faculty of Medicine, Cairo University, Cairo, Egypt
b Cardiovascular Department, Faculty of Medicine, Helwan University, Egypt

Background: Coronary angiography has some limitations in the proper assessment of coronary artery le- sions. Intravascular ultrasound (IVUS) before percutaneous coronary intervention (PCI) can identify significant stenosis, select the appropriate stent and detect complications. The study aimed to evaluate the impact of intravascular ultrasound on clinical and angiographic outcomes after revascularization by stenting for patients with unprotected left main (ULM) or proximal left anterior descending (LAD) coronary artery disease (CAD).

Materials and methods: A prospective randomized controlled study that was carried on sixty patients presented with stable angina or non-ST elevation acute coronary syndrome. Coronary angiography that was carried out at cardiac catheterization laboratory at the National Heart Institute in Egypt revealed significant left main or proximal LAD coronary artery disease. Patients were scheduled for revascularization by PCI.

Keywords: Coronary artery stenting, Intravascular ultrasound, Proximal left anterior descending artery, Unprotected left main coronary artery

Received: July 28, 2022; Revised: August 24, 2022; Accepted: September 22, 2022; Published: June 20, 2023  Show citation

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Hanboly NH, Baghdady YMK, Mostafa MM, Hashad AAF, Sadek YA. The clinical and angiographic impact of intravascular ultrasound guided stenting of unprotected left main and proximal left anterior descending coronary artery. A prospective randomized controlled study in Egypt. Cor Vasa. 2023;65(3):468-476. doi: 10.33678/cor.2022.101.
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