AS-087 Single Centre Experience With A Low Cost Bare Metal Stent In A Government General Hospital - Immediate Results And Six Month Clinical Follow Up Medical College Hospital, Trivandrum, India K. Suresh, K. Sivaprasad, K.R. Santhosh, A. Ajith, R. Rajagopal, S. Lakshmi, P. Velappan Background: With the rise in the number of poor patients requiring PCI in a government general hospital, the need for a low cost bare metal stent becomes inevitable. Published reports are scarce with Angstrom stent (low priced bare metal stent- Vasmed technologies). Methods: A retrospective study was conducted in patients who received at least one Angstrom stent as treatment between June 2005 and April 2007. The patient and lesion characteristics, the stent characteristics, the procedural aspects like success, safety & the crossing profile of the stent (ease of advancing in complex lesions, deployment, stent apposition to the vessel wall), immediate (7 day) post procedural major cardiac event rates(MACE) comprising of death, MI, Re-infarction with stent thrombosis and six month MACE (clinical follow up) were analysed. Results: Total of 127 stents in 93 patients were analysed. Twenty two patients had two Angstrom stents & 2 had three stents. 82(88%) were males & 11(12%) were females, mean age was 54.2 years. Risk factors included diabetes (19 %), hypertension (31%), smoking (17%) & dyslipidemia (22%). Clinical presentation was recent MI (within 7 days) in 23 patients (24.7%), old MI in 34 (40.86%), UA/NSTEMI in 17(18) and effort angina in 19(20.4%). 74 (79.56%) had multivessel disease & 19 (20.43 %) had single vessel disease. 4 patients had the stent for primary PCI. 4 were bail out stenting for distal dissection. 112(91 %) were type B lesions with (5 ostial lesions including one LMCA ostium & 4 LAD-Diagonal true bifurcations-Dukes type D, 7 were Type A & 4 were Type C lesions. 17 lesions had thrombus(13.8%) & calcium was present in 7(5.7 %.). Total occlusion was present in 8 (6.0%). 40 lesions were in LAD (31.5%), 56 in RCA(44.1%) & 31 in LCx (24.4%). Distribution of stent diameter were 2.5mm-45 (35.4%), 3mm- 56 (44.3) % 3.5mm -17 (13.3%) & 4mm -9 (7.1%). The distribution of stent length were 10mm- 7 (5.6% ) , 13mm -9 (7.1%), 16mm-19 (15.0%), 19mm 43 (33.9%), 21mm -36 (28.3%), 24mm -9 (7.1%) 27mm -4 (3.1%).The procedural success rate was 100%.. There were 2 in hospital deaths. One patient had GI bleed. The other patient had sudden death on the second day due to electro- mechanical disassociation. No acute or sub acute thrombosis was documented. MACE was comparable to other contemporary bare metal stents. Six month follow up also yielded comparable results. Conclusion: Our experience with Angstrom low cost bare metal stent shows that this is a safe & viable option for PCI in a government general hospital catering primarily to poor patients with CAD.