Long-Term Clinical Outcomes and Its Predictors Between the 1-and 2-Stent Strategy in Coronary Bifurcation Lesions - A Baseline Clinical and Lesion Characteristic-Matched Analysis -
DC Field | Value | Language |
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dc.contributor.author | Jang, Albert Youngwoo | - |
dc.contributor.author | Kim, Minsu | - |
dc.contributor.author | Oh, Pyung Chun | - |
dc.contributor.author | Suh, Soon Yong | - |
dc.contributor.author | Lee, Kyounghoon | - |
dc.contributor.author | Kang, Woong Chol | - |
dc.contributor.author | Choi, Ki Hong | - |
dc.contributor.author | Song, Young Bin | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.contributor.author | Chun, Woo Jung | - |
dc.contributor.author | Hur, Seung-Ho | - |
dc.contributor.author | Rha, Seung-Woon | - |
dc.contributor.author | Chae, In-Ho | - |
dc.contributor.author | Jeong, Jin-Ok | - |
dc.contributor.author | Heo, Jung Ho | - |
dc.contributor.author | Yoon, Junghan | - |
dc.contributor.author | Hong, Soon Jun | - |
dc.contributor.author | Park, Jong-Seon | - |
dc.contributor.author | Hong, Myeong-Ki | - |
dc.contributor.author | Doh, Joon-Hyung | - |
dc.contributor.author | Cha, Kwang Soo | - |
dc.contributor.author | Kim, Doo-Il | - |
dc.contributor.author | Lee, Sang Yeub | - |
dc.contributor.author | Chang, Kiyuk | - |
dc.contributor.author | Hwang, Byung-Hee | - |
dc.contributor.author | Choi, So-Yeon | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.contributor.author | Nam, Chang-Wook | - |
dc.contributor.author | Koo, Bon-Kwon | - |
dc.contributor.author | Han, Seung Hwan | - |
dc.date.accessioned | 2024-08-06T05:30:30Z | - |
dc.date.available | 2024-08-06T05:30:30Z | - |
dc.date.issued | 2022-09 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.issn | 1347-4820 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/75340 | - |
dc.description.abstract | Background: Differences in the impact of the 1-or 2-stent strategy in similar coronary bifurcation lesion conditions are not well understood. This study investigated the clinical outcomes and its predictors between 1 or 2 stents in propensity score-matched (PSM) complex bifurcation lesions. Methods and Results: We analyzed the data of patients with bifurcation lesions, obtained from a multicenter registry of 2,648 patients (median follow up, 53 months). The patients were treated by second generation drug-eluting stents (DESs). The primary outcome was target lesion failure (TLF), composite of cardiac death, target vessel myocardial infarction (TVMI), and ischemia-driven target lesion revascularization (TLR). PSM was performed to balance baseline clinical and angiographic discrepancies between 1 and 2 stents. After PSM (N=333 from each group), the 2-stent group had more TLRs (hazard ratio [HR] 3.14, 95% confidence interval [CI] 1.42-6.97, P=0.005) and fewer hard endpoints (composite of cardiac death and TVMI; HR 0.44, 95% CI 0.19-1.01, P=0.054), which resulted in a similar TLF rate (HR 1.40, 95% CI 0.83-2.37, P=0.209) compared to the 1-stent group. Compared with 1-stent, the 2-stent technique was more frequently associated with less TLF in the presence of main vessel (p(interaction)=0.008) and side branch calcification (p(interaction)=0.010). Conclusions: The 2-stent strategy should be considered to reduce hard clinical endpoints in complex bifurcation lesions, particularly those with calcifications. | - |
dc.format.extent | 11 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | JAPANESE CIRCULATION SOC | - |
dc.title | Long-Term Clinical Outcomes and Its Predictors Between the 1-and 2-Stent Strategy in Coronary Bifurcation Lesions - A Baseline Clinical and Lesion Characteristic-Matched Analysis - | - |
dc.type | Article | - |
dc.identifier.doi | 10.1253/circj.CJ-22-0163 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, v.86, no.9, pp 1365 - 1375 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000848717500013 | - |
dc.identifier.scopusid | 2-s2.0-85137126790 | - |
dc.citation.endPage | 1375 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1365 | - |
dc.citation.title | CIRCULATION JOURNAL | - |
dc.citation.volume | 86 | - |
dc.type.docType | Article | - |
dc.publisher.location | 일본 | - |
dc.subject.keywordAuthor | 1-stent | - |
dc.subject.keywordAuthor | 2-stent | - |
dc.subject.keywordAuthor | Bifurcation lesion | - |
dc.subject.keywordAuthor | Complex lesion | - |
dc.subject.keywordAuthor | Predictors | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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