الفهرس | Only 14 pages are availabe for public view |
Abstract Summary and conclusion: from the current study applied on high volume of population who had angioplasty to proximal LAD with different types of stents over a 12-year period of time, all-cause mortality and target vessel unplanned was clearly worse in diabetic patients particularly who are on insulin in comparison to non-diabetic. The outcome of diabetes is attributable to nature of complex lesions and complex anatomy in diabetic patients coming from progressive atherosclerotic process in diabetes mellitus. The impact and the relationship between complexity of lesion and poor outcome has been described clearly in the current study and many other large clinical trials conducted on diabetic patients. Despite of tremendous progress in angioplasty tools and strategies, diabetic patients either on oral or insulin treatment still carry a significantly worse survival (all-cause mortality) outcome after PCI to proximal LAD in comparison to non-diabetic. Meticulous assessment of coronary artery anatomy based on individual characters or using some scores such as SYNTAX score as well as evaluation of plaque nature and feasibility of complete revascularization could be very helpful to take a better decision about revascularization strategy. Protective impact of IVUS guided PCI in diabetic on all-cause mortality will encourage more IVUS use. |