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Scientific Object Identifier: http://s-o-i.org/1.1/TAS-02-106-34
DOI: https://dx.doi.org/10.15863/TAS.2022.02.106.34
Language: English
Citation: Dalerov, A. D. (2022). Direct stenting of the anterior descending coronary artery (description of a clinical case). ISJ Theoretical & Applied Science, 02 (106), 280-287. Soi: http://s-o-i.org/1.1/TAS-02-106-34 Doi: https://dx.doi.org/10.15863/TAS.2022.02.106.34 |
Pages: 280-287
Published: 28.02.2022
Abstract: Aim: The goal of revascularization in stable angina is to increase survival and reduce symptoms of ischemia. Randomised trials have shown that direct stenting is associated with improved markers of reperfusion during primary percutaneous coronary intervention for stenosis of anterior descending coronary artery. However, data evaluating its impact on long-term clinical outcomes are lacking. The purpose of this study was to evaluate the efficacy and safety of stenting in patients with ostial stenosis of anterior descending coronary artery. Methods: The article presents a clinical case of anterior descending coronary artery stenting in a 57-year-old patient. The peculiarity of the patient was the presence of the anterior descending coronary artery - the ostial stenosis was 80%, then the stenosis in pr/3 was up to 95%, the distal bed was without hemodynamically significant stenoses. According to the anamnesis, physical examination and the results of instrumental examination, indications for direct stenting of the anterior descending coronary artery. Results: Our data demonstrate the best results when performing direct stenting in patients with angina pectoris FC III. It has been previously proven that direct stenting in patients with stable coronary heart disease reduces the incidence of distal embolism with atherosclerotic plaque components. Conclusions: In a contemporary, direct stenting during percutaneous coronary intervention is an effective and safe method of treating patients with FC III exertional angina and should be used whenever possible.
Key words: stenosis of the anterior descending coronary artery, direct stenting, coronary artery disease, coronography.
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