Wadi El-Neel Hospital Case Study

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Study design and study population: It was a prospective, single arm, open label study that included 99 cases admitted to the catheterization laboratory in Wadi El-Neel hospital between September 2012 and March 2014 and diagnosed as having ischemic heart disease with significant coronary artery stenosis necessitating PCI. We included full history, clinical evaluation, Standard 12-leads surface ECG, Echocardiography, ischemia driven non-invasive testing for controversy patients with chest pain. The inclusion criteria were: stable coronary artery disease, age ≥ 18 and ≤ 65 years, and de novo coronary lesions (excluding left main stem and arterial or saphenous vein grafts). Main exclusion criteria were: acute coronary syndrome, the inability to…show more content…
Control angiography with QCA and IVUS assessment of the target segment was done at one year. 3.5. Endpoints The primary endpoint was the cumulative rate of major adverse cardiovascular events (MACE) consisting of cardiac death, myocardial infarction (MI) and Ischemia-driven target lesion revascularization (TLR). Secondary endpoints included cardiac death, all-cause death, MI, TLR, target vessel revascularization (TVR), stent thrombosis (ST), and device success rate. Cardiac death included death resulting from an acute MI, sudden cardiac death, death due to heart failure and death due to cardiac procedures. All deaths were deemed cardiac unless proven otherwise. MI was defined according to the third universal definition [11]. Clinically-driven TLR was defined as the reintervention of the target lesion due to presence of a symptomatic ≥ 50% diameter stenosis during follow-up. TVR was defined as any revascularization of any segment of the index coronary artery. The device success was defined as successful deployment of the intended stent in the target site without a system

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