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Clinical Implications of Bifurcation Angles in Left Main Bifurcation Intervention Using a Two-Stent Technique
المؤلفون المشاركون
Chae, In-Ho
Koo, Bon-Kwon
Han, Jung-Kyu
Kang, Hyun-Jae
Ki, You-Jeong
Jung, Ji Hyun
Cho, Jang Hyun
Gwon, Hyeon-Cheol
Lee, Sung Yun
Rhew, Jay Young
Chae, Jei Keon
Yang, Han-Mo
Park, Kyung Woo
Kim, Hyo-Soo
Hong, Suk-Keun
المصدر
Journal of Interventional Cardiology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-12، 12ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-13
دولة النشر
مصر
عدد الصفحات
12
التخصصات الرئيسية
الملخص EN
Objectives.
The aim of this study was to assess the clinical impact of 3 bifurcation angles in left main (LM) bifurcation treated with the 2-stent technique.
Background.
Data are limited regarding the impact of bifurcation angles after LM percutaneous coronary intervention (PCI).
Methods.
Using patient-level 4 multicenter registries in Korea, 462 patients undergoing LM bifurcation PCI with the 2-stent technique were identified (181 crush, 167 T-stenting; 63% 1st generation drug-eluting stent (DES), 37% 2nd generation DES).
Three bifurcation angles, between the LM and left anterior descending (LAD), the LM and left circumflex (LCX), and the LAD and LCX, were measured.
The primary outcome was target lesion failure (TLF), a composite of cardiac death, myocardial infarction, and target lesion revascularization (TLR).
Results.
In patients treated with the crush technique, the best cutoff value (BCV) to predict TLF was 152° of the LM-LAD angle.
In the crush group, a significantly higher TLF rate, mostly driven by TLR, was observed in the LM-LAD angle ≥152° group compared with the <152° group (35.7% vs.
14.6%; adjusted hazard ratio 3.476; 95% confidence interval 1.612–7.492).
An LM-LAD angle ≥152° was an independent predictor of TLF.
In the T-stenting, no bifurcation angle affected the clinical outcomes.
Conclusions.
In LM bifurcation PCI using the 2-stent technique, wide LM-LAD angle (≥152°) was associated with a greater risk of TLF in the crush, whereas none of the bifurcation angles affected T-stenting outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ki, You-Jeong& Jung, Ji Hyun& Han, Jung-Kyu& Hong, Suk-Keun& Cho, Jang Hyun& Gwon, Hyeon-Cheol…[et al.]. 2020. Clinical Implications of Bifurcation Angles in Left Main Bifurcation Intervention Using a Two-Stent Technique. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1187760
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ki, You-Jeong…[et al.]. Clinical Implications of Bifurcation Angles in Left Main Bifurcation Intervention Using a Two-Stent Technique. Journal of Interventional Cardiology No. 2020 (2020), pp.1-12.
https://search.emarefa.net/detail/BIM-1187760
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ki, You-Jeong& Jung, Ji Hyun& Han, Jung-Kyu& Hong, Suk-Keun& Cho, Jang Hyun& Gwon, Hyeon-Cheol…[et al.]. Clinical Implications of Bifurcation Angles in Left Main Bifurcation Intervention Using a Two-Stent Technique. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-12.
https://search.emarefa.net/detail/BIM-1187760
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1187760
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