TITLE:
“Kurdistan” Technique for the Treatment of Unprotected Trifurcation Left Main Stem Coronary Artery Lesion: Case Report
AUTHORS:
Aram J. Mirza
KEYWORDS:
LMS, DES, Trifurcational
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.4 No.9,
August
26,
2014
ABSTRACT: The left main coronary artery (LMCA) is responsible for supplying about
75% to 100% of the left ventricular cardiac mass. Left main stem coronary
artery (LMCA) disease reduces flow to a large portion of the myocardium, placing
the patient at high risk for life-threatening events such as left ventricular
dysfunction and arrhythmias with a high mortality approaching 50% in those
treated medically. For several decades, coronary artery bypass grafting (CABG)
has been considered as a gold standard treatment of unprotected left main
coronary artery (ULMCA). However, successful percutaneous coronary
interventions (PCI) have been increasingly reported recently due to improved
stent technology and better operator expertise. In spite of these factors, management
can be challenging especially in LMCA bifurcational & trifurcational
lesions, and therefore an integrated approach combining special techniques,
physiological evaluation and adjunctive pharmacological
agents should be combined for better clinical outcome. Herein, we describe a
new promising technique named (Kurdistan technique) for the treatment of
trifurcation unprotected left main stem lesion. In the last 18 months, 21
patients with significant trifurcational LMS had underwent PCI using this
technique in our hospital (Sulaimany Heart Hospital/Kurdistan). The procedural
success rate was 100%, follow up coronary angiography done between 6 - 12
months after the procedure for all the patients with no significant in-stent
restenosis in any patient. One case is presented here demonstrating the
technique.