scholarly journals Regression of plaque burden after primary percutaneous coronary intervention (PCI) in a patient with TVD: 4 years follow-up

Pulse ◽  
2011 ◽  
Vol 4 (1) ◽  
pp. 22-25
Author(s):  
AHM W Islam ◽  
S Munwar ◽  
S Talukder ◽  
AQM Reza ◽  
T Ahmed
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Atherosclerotic Plaque ◽  
Primary Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Bare Metal Stent ◽  
Survival Outcome ◽  
Plaque Burden ◽  
Mortality And Morbidity ◽  
Percutaneous Coronary ◽  
Artery Disease

Coronary Artery disease (CAD) is an important cause of mortality and morbidity in the developed world as well as in Bangladesh. Treatment of Acute Myocardial Infarction (AMI) patient either by Streptokinase (STK) or Primary Percutaneous Coronary Intervention (pPCI) has increased the survival outcome and reduced the mortality. Several studies have documented the significant beneficial role pPCI in terms of in-hospital survival outcome over thrombolysis.  Our patient, who had Anterior MI in 2004 and his CAG revealed TVD.  pPCI of the culprit mid LAD lesion with Bare Metal Stent (BMS) was done immediately after hospitalization. He was later referred for CABG, but decision postponed because of asymptomatic status. His re-look CAG on 20-02-2008 (i.e., 4 yrs after the original procedure), revealed patent LAD stent with the regression of atherosclerotic plaque in Ostio-Proximal LAD and proximal LCX. Our findings indicated that pPCI with rigid control of CAD risk factors and modification of lifestyle plays a key role in the regression of atherosclerotic plaque and maintenance of stent patency.DOI: http://dx.doi.org/10.3329/pulse.v4i1.6959Pulse Vol.4 January 2010 p.22-25

scholarly journals Case Report: The Role of Intravascular Ultrasonography in Patients Underwent Percutaneous Coronary Intervention

2020 ◽  
Vol 55 (4) ◽  
pp. 311
Author(s):  
Yudi Her Oktaviono ◽  
Alisia Yuana Putri
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Bare Metal Stent ◽  
Plaque Burden ◽  
Drug Eluting Stent ◽  
Intravascular Ultrasonography ◽  
Stent Deployment ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
Artery Disease

Intravascular ultrasonography (IVUS) has an important role as a complimentary diagnostic tool in percutaneous coronary intervention procedure. IVUS provides valuable information regarding coronary vessel lumen and dimension and also plaque burden and its characteristic. The main use of IVUS in PCI is to guide the choose of interventional strategies to optimize stent deployment. Since drug eluting stent (DES) has promised to decrease the incidence in stent restenosis and stent thrombosis than bare metal stent, but neither the suboptimal results nor the complication after stenting with DES is still high. Thus, optimization of stent deployment under IVUS guidance is important in cases to decrease stent failure after PCI procedure, as well as to decrease complication rate after stenting in order to decrease mortality rate caused by coronary artery disease. We present here the use of IVUS guidance in a 43 and 46 year-old man underwent PCI.

scholarly journals Case Report: The Role of Intravascular Ultrasonography in Patients Underwent Percutaneous Coronary Intervention

2021 ◽  
Vol 55 (4) ◽  
pp. 311
Author(s):  
Yudi Her Oktaviono ◽  
Alisia Yuana Putri
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Bare Metal Stent ◽  
Plaque Burden ◽  
Drug Eluting Stent ◽  
Intravascular Ultrasonography ◽  
Stent Deployment ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
Artery Disease

Intravascular ultrasonography (IVUS) has an important role as a complimentary diagnostic tool in percutaneous coronary intervention procedure. IVUS provides valuable information regarding coronary vessel lumen and dimension and also plaque burden and its characteristic. The main use of IVUS in PCI is to guide the choose of interventional strategies to optimize stent deployment. Since drug eluting stent (DES) has promised to decrease the incidence in stent restenosis and stent thrombosis than bare metal stent, but neither the suboptimal results nor the complication after stenting with DES is still high. Thus, optimization of stent deployment under IVUS guidance is important in cases to decrease stent failure after PCI procedure, as well as to decrease complication rate after stenting in order to decrease mortality rate caused by coronary artery disease. We present here the use of IVUS guidance in a 43 and 46 year-old man underwent PCI.

scholarly journals Outcomes of primary percutaneous coronary intervention (PCI) in NICVD, Dhaka,Bangladesh- our initial experiences

2015 ◽  
Vol 9 (2) ◽  
pp. 83-87 ◽  
Author(s):  
Mir Jamaluddin ◽  
Ibrahim Khalil ◽  
Kajal Kumar Karmakar ◽  
Humayun Kabir ◽  
Rakibul Islam Litu ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Primary Percutaneous Coronary Intervention ◽  
Positive Family History ◽  
Coronary Intervention ◽  
Bare Metal Stent ◽  
Drug Eluting Stent ◽  
Primary Pci ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Percutaneous Coronary

The aim of the study is to determine the out comes of primary percutaneous coronary intervention (PCI) in patients with acute myocardial infarction in NICVD the only government cardiac hospital of Bangladesh where resources are very limited. Total 73 (male 70, female 3) patients were enrolled in this study who were brought in to our hospital with STEMI between August 2010 to October 2013. Average age was 55.6 ±11.78. Primary PCI was performed after transferring patient from Emergency Department to cardiac catheterization laboratory. Cardiovascular risk factors among the studied population were Diabetes mellitus, Hypertension, Smoking, Dyslipidemia and Positive family history for IHD. Primary PCI either with Bare Metal Stent (BMS) or Drug Eluting Stent (DES) were performed in total 42 LAD lesions, 28 RCA lesions and 3 LCX lesions. BMS used were 87.7%, DES used were 12.3%. The procedural success was 95.8%.Four patients (5.4%) died during hospital stay. Out of four patients who died, one had cardiogenic shock. No mortality was observed in the 30 days follow up from discharge, while other complications like unstable angina and congestive heart failure were 5.7% and 4.3% respectively. Our findings suggest favorable outcomes, matching the international data which was achieved in our patients with primary PCI in the management of STEMI despite all the limitations. Primary PCI as a preferred method of reperfusion strategy needs to be practiced more often in our part of world.University Heart Journal Vol. 9, No. 2, July 2013; 83-87

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