Features, predictors and Management of Ostial Coronary Artery Diseases

O.S.Arafa, M.E.El Seteha, E.S.El Keshk, A.E.El Nagar and M.M.El Sawaf"


Ostial lesions have been recognized as a challenge from multiple perspectives for percutaneous coronary intervention [PCI]. Right off the bat, ostial injuries are well on the way to be related with problematic angiographic results because of injury inflexibility and force. Also, careful stent situating is a principle issue in performing PCI. Thirdly, troubles in the arrangement of a managing catheter and poor back-up help are different elements that may influence the conclusive outcome. To decide the highlights, indicators and the board of ostial coronary conduit ailments. The current examination assessed 2000 back to back patients alluded to the cardiology division of Benha college medical clinics and Tanta college Hospitals with ischemic chest torment experienced indicative catheterization. From those patients just 200 coordinated our populace and determined to have coronary ostial injury and experienced PCI. All patients had history taking, total physical assessment, ECG, Echo, research facility examinations and coronary angiography. As to the sorts of bifurcation strategies done in PCI, Culotte strategy was done in 28 patients, DK Crush procedure was done in 36 patients. Scaled down - Crush procedure was done in 52 patients, TAP strategy was done in 36 patients, V Stenting method was done in 16 patients lastly, Szabo strategy was done in 28 patients. Best outcomes and less difficulties were with Szabo procedure. Best outcomes and less inconveniences to oversee ostial injury were related with [Szabo] strategy, while more entanglements were related with [Culotte] procedure.

Key words

Coronary ostial lesion, Bifurcation lesion, PCI, Szabo technique.