Abstract
Balloon angioplasty of ostial left anterior descending coronary artery (LAD)
lesions has been associated with a high rate of acute complications and late
restenosis. Recently, coronary stenting has been proposed as an effective
treatment modality for ostial LAD lesions. To evaluate the effects of stent
design on the development of late restenosis, we retrospectively analyzed the
efficacy of slotted-tube stent implantation (40 patients, Palmaz-Schatz stent)
and coil stent implantation (15 patients, tantalum Cordis stent) of ostial LAD
stenosis. Six-month angiographic follow-up data were obtained in 31 patients
(82%) with slotted-tube stent implantation and 12 patients (86%) with coil stent
implantation. Angiographic restenosis was defined as ≥50% diameter
stenosis. The angiographic restenosis rate was significantly lower in
slotted-tube stent implantation (32%) than in coil stent implantation (67%)
(p<0.05). Target lesion revascularization rate of slotted tube stent
implantation was significantly lower (26%) than that of coil stent implantation
(57%) (p<0.05). Coil stent implantation of ostial left anterior descending
artery lesions was associated with higher late restenosis compared with slotted
tube stent implantation. In conclusion, slotted-tube stent implantation might be
considered to improve late clinical outcomes of ostial LAD lesions.