A RETROSPECTIVE ASSESSMENT OF PERCUTANEOUS ANGIOPLASTY'S OUTCOME IN PATIENTS WITH OSTEAL LESIONS IN CORONARY ARTERY DISEASE (CAD)

Objective: The aim of this research was the assessment of Percutaneous Angioplasty’s outcome in patients with osteal lesions in coronary artery disease.

Methodology: Our research design was retrospective which included all coronary angiograms and we carried it out at the catheterization laboratory of Sir Ganga Ram Hospital, Lahore from September 2016 to November 2017.

Results: This research contained the specimen of 50 patients amongst which the numbers of male and female were 35 and 15 respectively having ages above forty years. Every patient was having single target osteal lesion; 06 patients (05 male and 01 female) had ostial LCX lesion, for ostial LAD Lesion 29 patients (20 male and 09 female) gone through PCI, and RCA stenosis was in 15 patients (five female and ten male). Residual stenosis reduced after balloon dilation at high pressure. We treated 38 patients with DES (Drug Eluting Stents) and 12 with BMS (Bare Metal Stents). The procedure was successful in all cases as none of the patients faced complication before or after the procedure.

Conclusion: The main point of concern while treating the osteal lesion is making sure that osteal junction covers completely with the stent insertion. Better procedural understanding, and improvement in adjunctive drug therapy, techniques and equipment have altered a great deal of the interventional cardiology practice.

Keywords: Osteal Stenosis, Cutting Balloon (CB), Percutaneous Transluminal Coronary Angioplasty (PTCA), Coronary Artery Disease (CAD).