الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This study was conducted at Mansoura University hospital aiming to evaluate the impact of site and length of stents in left anterior descending artery on short and intermediate term MACE. We included total of 51cases with PCI to LAD, all of them was regularly followed after three months, six months and one year. All cases were subjected to complete history taking, physical examination, routine biochemical investigation, echocardiography, coronary angiography and PCI to LAD. This study was carried on patients with following ages 64.7% males and 35.3% females,29.4% of patients was older than 60 years, 68,6% between 40 and 60 year and 2% under 40 years old. Nine patients on our study had primary PCI, four patients had pharmaco-invasive PCI, one patient had rescue PCI and 37 patients had elective PCI All our patients stented with second generation DES. The stents used were 88.2% EESs, and 11.8% ZESs. The result of our study showed that there was no significant difference between EES and ZES regarding efficacy and safety. The results of our study showed that there was no significant relation between clinical presentation of the studied patients either presented with ACS or CCS and stent length and also revealed that there was no significant difference between patients with primary or elective PCI in relation to MACEs happened. The results of our study showed that there is mild increase of incidence of MACE (but, not statistically significant) with long stents than short stents. The results of our study showed that there was significant increase in anginal pain with long stents than short stents after one years (P = 0.025*). There was also increase (not statistically significant) in devolvement of heart failure with long stents more than short stents especially after one year follow up. This study revealed that there was mild increase (not statically significant) in MACE with proximal stenting than mid and distal stenting.