Optimal strategy for side branch treatment in patients with left main coronary bifurcation lesions
DC Field | Value | Language |
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dc.contributor.author | Kim, Jihoon | - |
dc.contributor.author | Lee, Joo Myung | - |
dc.contributor.author | Park, Taek Kyu | - |
dc.contributor.author | Yang, Jeong Hoon | - |
dc.contributor.author | Hahn, Joo-Yong | - |
dc.contributor.author | Choi, Jin-Ho | - |
dc.contributor.author | Choi, Seung-Hyuk | - |
dc.contributor.author | Seung, Ki Bae | - |
dc.contributor.author | Hur, Seung-Ho | - |
dc.contributor.author | Rha, Seung-Woon | - |
dc.contributor.author | Kim, June-Hong | - |
dc.contributor.author | Choi, Rak Kyeong | - |
dc.contributor.author | Oh, Ju Hyeon | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.contributor.author | Lee, Seung-Hwan | - |
dc.contributor.author | Park, Jong-Seon | - |
dc.contributor.author | Lee, Sung Yun | - |
dc.contributor.author | Jeon, Dong Woon | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.contributor.author | Lee, Jae-Hwan | - |
dc.contributor.author | Lee, Sang Yeub | - |
dc.contributor.author | Park, Woo-Jung | - |
dc.contributor.author | Song, Young Bin | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.date.accessioned | 2024-08-06T06:30:37Z | - |
dc.date.available | 2024-08-06T06:30:37Z | - |
dc.date.issued | 2021-08 | - |
dc.identifier.issn | 1885-5857 | - |
dc.identifier.issn | 1579-2242 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/75344 | - |
dc.description.abstract | Introduction and objectives: There are no guidelines regarding the most appropriate approach for provisional side branch (SB) intervention in left main (LM) bifurcation lesions. Methods: The present prospective, randomized, open-label, multicenter trial compared conservative vs aggressive strategies for provisional SB intervention during LM bifurcation treatment. Although the trial was designed to enroll 700 patients, it was prematurely terminated due to slow enrollment. For 160 non-true bifurcation lesions, a 1-stent technique without kissing balloon inflation was applied in the conservative strategy, whereas a 1-stent technique with mandatory kissing balloon inflation was applied in the aggressive strategy. For 46 true bifurcation lesions, a stepwise approach was applied in the conservative strategy (after main vessel stenting, SB ballooning when residual stenosis > 75%; then, SB stenting if residual stenosis > 50% or there was a dissection). An elective 2-stent technique was applied in the aggressive strategy. The primary outcome was a 1-year target lesion failure (TLF) composite of cardiac death, myocardial infarction, or target lesion revascularization. Results: Among non-true bifurcation lesions, the conservative strategy group used a smaller amount of contrast dye than the aggressive strategy group. There were no significant differences in 1-year TLF between the 2 strategies among non-true bifurcation lesions (6.5% vs 4.9%; HR, 1.31; 95%CI, 0.35-4.88; P = .687) and true bifurcation lesions (17.6% vs 21.7%; HR, 0.76; 95%CI, 0.20-2.83; P = .683). Conclusions: In patients with a LM bifurcation lesion, conservative and aggressive strategies for a provisional SB approach have similar 1-year TLF rates. (C) 2020 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L.U. All rights reserved. | - |
dc.format.extent | 9 | - |
dc.language | 스페인어 | - |
dc.language.iso | SPA | - |
dc.publisher | EDICIONES DOYMA S A | - |
dc.title | Optimal strategy for side branch treatment in patients with left main coronary bifurcation lesions | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.recesp.2020.06.012 | - |
dc.identifier.bibliographicCitation | REVISTA ESPANOLA DE CARDIOLOGIA, v.74, no.8, pp 691 - 699 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000675842800009 | - |
dc.identifier.scopusid | 2-s2.0-85090308372 | - |
dc.citation.endPage | 699 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 691 | - |
dc.citation.title | REVISTA ESPANOLA DE CARDIOLOGIA | - |
dc.citation.volume | 74 | - |
dc.type.docType | Article | - |
dc.publisher.location | 스페인 | - |
dc.subject.keywordAuthor | Left main disease | - |
dc.subject.keywordAuthor | Side branch | - |
dc.subject.keywordAuthor | Percutaneous coronary intervention | - |
dc.subject.keywordAuthor | Outcomes | - |
dc.subject.keywordPlus | TERM CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | DOUBLE KISSING CRUSH | - |
dc.subject.keywordPlus | INTRAVASCULAR ULTRASOUND | - |
dc.subject.keywordPlus | ELUTING STENTS | - |
dc.subject.keywordPlus | INTERVENTION | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | DEFINITION | - |
dc.subject.keywordPlus | PREDICTORS | - |
dc.subject.keywordPlus | OCCLUSION | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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