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Comparing two-stent strategies for bifurcation coronary lesions: which vessel should be stented first, the main vessel or the side branch?
DC Field | Value | Language |
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dc.contributor.author | Shin, DH | - |
dc.contributor.author | Park, KW | - |
dc.contributor.author | Koo, BK | - |
dc.contributor.author | Oh, IY | - |
dc.contributor.author | Seo, JB | - |
dc.contributor.author | Gwon, HC | - |
dc.contributor.author | Jeong, MH | - |
dc.contributor.author | Seong, IW | - |
dc.contributor.author | Rha, SW | - |
dc.contributor.author | Yang, JY | - |
dc.contributor.author | Park, SJ | - |
dc.contributor.author | Yoon, JH | - |
dc.contributor.author | Han, KR | - |
dc.contributor.author | Park, JS | - |
dc.contributor.author | Hur, SH | - |
dc.contributor.author | Tahk, SJ | - |
dc.contributor.author | Kim, HS | - |
dc.date.accessioned | 2012-04-23 | - |
dc.date.available | 2012-04-23 | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/6470 | - |
dc.description.abstract | This study compared two-stent strategies for treatment of bifurcation lesions by stenting order, 'main across side first (A-family)' vs 'side branch first (S-family). The study population was patients from 16 centers in Korea who underwent drug eluting stent implantation with two-stent strategy (A-family:109, S-family:140 patients). The endpoints were cardiac death, myocardial infarction (MI), stent thrombosis (ST), and target lesion revascularization (TLR) during 3 years. During 440.8 person-years (median 20.2 months), there was 1 cardiac death, 4 MIs (including 2 STs), and 12 TLRs. Cumulative incidence of cardiac death, MI and ST was lower in A-family (0% in A-family vs 4.9% in S-family, P = 0.045). However, TLR rates were not different between the two groups (7.1% vs 6.2%, P = 0.682). Final kissing inflation (FKI) was a predictor of the hard-endpoint (hazard ratio 0.061; 95% CI 0.007-0.547, P = 0.013), but was not a predictor of TLR. The incidence of hard-endpoint of S-family with FKI was comparable to A-family, whereas S-family without FKI showed the poorest prognosis (1.1% vs 15.9%, retrospectively; P = 0.011). In conclusion, 'A-family' seems preferable to 'S-family' if both approaches are feasible. When two-stent strategy is used, every effort should be made to perform FKI, especially in 'S-family'. | - |
dc.language.iso | en | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Angioplasty, Balloon, Coronary | - |
dc.subject.MESH | Coronary Stenosis | - |
dc.subject.MESH | Death, Sudden, Cardiac | - |
dc.subject.MESH | Drug-Eluting Stents | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Myocardial Infarction | - |
dc.subject.MESH | Myocardial Revascularization | - |
dc.subject.MESH | Thrombosis | - |
dc.title | Comparing two-stent strategies for bifurcation coronary lesions: which vessel should be stented first, the main vessel or the side branch? | - |
dc.type | Article | - |
dc.identifier.pmid | 21860553 | - |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154338/ | - |
dc.contributor.affiliatedAuthor | 탁, 승제 | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.3346/jkms.2011.26.8.1031 | - |
dc.citation.title | Journal of Korean medical science | - |
dc.citation.volume | 26 | - |
dc.citation.number | 8 | - |
dc.citation.date | 2011 | - |
dc.citation.startPage | 1031 | - |
dc.citation.endPage | 1040 | - |
dc.identifier.bibliographicCitation | Journal of Korean medical science, 26(8). : 1031-1040, 2011 | - |
dc.identifier.eissn | 1598-6357 | - |
dc.relation.journalid | J010118934 | - |
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