ARTERIOPLASTY IN DIFFUSE CORONARY ARTERY DISEASE IS A SAFE ALTERNATIVE

Abstract

Objective: To assess the efficacy of coronary arterioplasty in patients who have more aggressive and diffuse coronary artery disease. Method and Patients: This is a retrospective observational study of cases performed over nine year period (Jan 2000-Dec 2008). Thirty five patients, with diffuse coronary disease had arterioplasty. Their perioperative course was compared with a similar number of patients with matching profile but relatively better coronaries. Results: Fourty arterioplasties were performed in 35 patients. There were 30 males and 5 females. Mean age was 53.46. Clamp time and ventilation time in ICU was longer in this group compared with control group. Need for ionotropic support and ICU stay were same in both groups. There was no other morbidity or any mortality in either group. Follow-up for six months was complete. Patients remained active and symptom free. Conclusion: Coronary arterioplasty is a safe and effective alternative, in a group of patients who have diffuse coronary disease.