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2002, Number 3

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Cir Cir 2002; 70 (3)

Treatment of proximal lesions in left anterior descending coronary artery. Surgery Vs. percutaneous transluminal coronary angioplasty

Careaga-Reyna G, Argüero-Sánchez R, Ramírez-Castañeda S, Ramírez-Castañeda A

Language: Spanish
References: 12
Page: 137-141
PDF size: 42.81 Kb.


ABSTRACT

Objective: To compare the results of percutaneous angioplasty vs. surgery for treatment of proximal lesions of left anterior descending coronary artery. Matherial and methods: From January 1, 1997 to October 30 2000, 40 patients with sole lesions in left anterior descending coronary artery were treated at our hospital; for 20 patients (group A), treatment consisted of aorto-coronary bypass grafting, while in group B (n = 20), treatment was percutaneous transluminal coronary angioplasty. Results: Need for reoperation in group A was 0% and in group B, 45% (p = 0.002), while residual ischemia in group A was 10%, and in group B, 50% (p = 0.006). In group A, angina posterior to surgery was 0% and in group B, angina was present in 45% (p = 0.002). Mortality was 5% in both groups. Surgery is better as treatment for left anterior descending coronary artery occlusion than percutaneous transluminal coronary angioplasty with or without stent.


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