Background: Left Main Coronary Artery PCI using drug eluting stents in properly selected patients with stable CAD is now increasingly performed due to the recent trials showing comparable results in terms of safety and mortality. However, limited data is available for LM PCI in the stenting of acute coronary syndrome.
Methods: The PCI registry of the Philippine Heart Center from 2009-2013 and coronary angiograms of eligible subjects were reviewed. Those with acute coronary syndromes who underwent left main stenting were included in the study. The clinical, angiographic characteristics and outcomes were determined.
Results: A total of 24 patients were eligible for the study. Procedural success was achieved in 21 patients (87%) with arrhythmia as the only reported complication (8%). The 3 patients who died during the hospitalization all had signs of heart failure on presentation, underwent emergency PCI and had no collateral flow.
Conclusion: Left main stenting in the the setting of an acute coronary syndrome has high procedural success rate with low rate of complications.