Cited 0 times in Scipus Cited Count

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
dc.contributor.authorShin, DH-
dc.contributor.authorPark, KW-
dc.contributor.authorKoo, BK-
dc.contributor.authorOh, IY-
dc.contributor.authorSeo, JB-
dc.contributor.authorGwon, HC-
dc.contributor.authorJeong, MH-
dc.contributor.authorSeong, IW-
dc.contributor.authorRha, SW-
dc.contributor.authorYang, JY-
dc.contributor.authorPark, SJ-
dc.contributor.authorYoon, JH-
dc.contributor.authorHan, KR-
dc.contributor.authorPark, JS-
dc.contributor.authorHur, SH-
dc.contributor.authorTahk, SJ-
dc.contributor.authorKim, HS-
dc.date.accessioned2012-04-23-
dc.date.available2012-04-23-
dc.date.issued2011-
dc.identifier.issn1011-8934-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/6470-
dc.description.abstractThis 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.isoen-
dc.subject.MESHAged-
dc.subject.MESHAngioplasty, Balloon, Coronary-
dc.subject.MESHCoronary Stenosis-
dc.subject.MESHDeath, Sudden, Cardiac-
dc.subject.MESHDrug-Eluting Stents-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction-
dc.subject.MESHMyocardial Revascularization-
dc.subject.MESHThrombosis-
dc.titleComparing two-stent strategies for bifurcation coronary lesions: which vessel should be stented first, the main vessel or the side branch?-
dc.typeArticle-
dc.identifier.pmid21860553-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154338/-
dc.contributor.affiliatedAuthor탁, 승제-
dc.type.localJournal Papers-
dc.identifier.doi10.3346/jkms.2011.26.8.1031-
dc.citation.titleJournal of Korean medical science-
dc.citation.volume26-
dc.citation.number8-
dc.citation.date2011-
dc.citation.startPage1031-
dc.citation.endPage1040-
dc.identifier.bibliographicCitationJournal of Korean medical science, 26(8). : 1031-1040, 2011-
dc.identifier.eissn1598-6357-
dc.relation.journalidJ010118934-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
Files in This Item:
21860553.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse