Comparison of 2-Stenting Strategies Depending on Sequence or Technique for Bifurcation Lesions in the Second-Generation Drug-Eluting Stent Era - Analysis From the COBIS (Coronary Bifurcation Stenting) III Registry -
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kang, J. | - |
dc.contributor.author | Han, J.-K. | - |
dc.contributor.author | Yang, H.-M. | - |
dc.contributor.author | Park, K.W. | - |
dc.contributor.author | Kang, H.-J. | - |
dc.contributor.author | Gwon, H.-C. | - |
dc.contributor.author | Chun, W.J. | - |
dc.contributor.author | Hur, S.-H. | - |
dc.contributor.author | Han, S.H. | - |
dc.contributor.author | Rha, S.-W. | - |
dc.contributor.author | Chae, I.-H. | - |
dc.contributor.author | Jeong, J.-O. | - |
dc.contributor.author | Heo, J.H. | - |
dc.contributor.author | Yoon, J. | - |
dc.contributor.author | Lim, D.-S. | - |
dc.contributor.author | Park, J.-S. | - |
dc.contributor.author | Hong, M.-K. | - |
dc.contributor.author | Doh, J.-H. | - |
dc.contributor.author | Cha, K.S. | - |
dc.contributor.author | Kim, D.-I. | - |
dc.contributor.author | Lee, S.Y. | - |
dc.contributor.author | Chang, K. | - |
dc.contributor.author | Hwang, B.-H. | - |
dc.contributor.author | Choi, S.-Y. | - |
dc.contributor.author | Jeong, M.H. | - |
dc.contributor.author | Song, Y.B. | - |
dc.contributor.author | Choi, K.H. | - |
dc.contributor.author | Hong, S.-J. | - |
dc.contributor.author | Nam, C.-W. | - |
dc.contributor.author | Koo, B.-K. | - |
dc.contributor.author | Kim, H.-S. | - |
dc.date.accessioned | 2021-11-07T02:40:20Z | - |
dc.date.available | 2021-11-07T02:40:20Z | - |
dc.date.created | 2021-11-04 | - |
dc.date.issued | 2021-11 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/82615 | - |
dc.description.abstract | Background: It has not been determined which specific 2-stenting strategy is the best for bifurcation lesions. Our aim was to investigate the clinical outcomes of various 2-stenting strategies in the era of 2nd-generation drug-eluting stents (2G-DES). Methods and Results: We analyzed 454 patients who finally underwent 2-stenting for a bifurcation lesion, from among 2,648 patients enrolled in the COBIS III registry. The primary outcome was target lesion failure (TLF). Patients were analyzed according to stenting sequence (provisional [main vessel stenting first] vs. systemic [side branch stenting first]) and stenting technique (crush vs. T vs. culotte vs. kissing/V stenting). Overall, 4.4 years' TLF after 2-stenting treatment for bifurcation lesion was excellent: TLF 11.2% and stent thrombosis 1.3%. There was no difference in TLF according to 2-stenting strategy (11.1% vs. 10.5%, P=0.990 for provisional and systemic sequence; 8.6% vs. 14.4% vs. 12.9% vs. 12.2%, P=0.326 for crush, T, culotte, kissing/V technique, respectively). Only left main (LM) disease and a shorter duration of dual antiplatelet therapy (DAPT) were associated with TLF. The distribution of DAPT duration differed between patients with and without TLF, and the time-point of intersection was 2.5 years. Also, the side branch was the most common site of restenosis. Conclusions: The stenting sequence or technique did not affect clinical outcomes, but LM disease and shorter DAPT were associated with TLF, in patients with bifurcation lesions undergoing 2-stenting with 2G-DES. © 2021 Japanese Circulation Society. All rights reserved. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Japanese Circulation Society | - |
dc.relation.isPartOf | Circulation Journal | - |
dc.title | Comparison of 2-Stenting Strategies Depending on Sequence or Technique for Bifurcation Lesions in the Second-Generation Drug-Eluting Stent Era - Analysis From the COBIS (Coronary Bifurcation Stenting) III Registry - | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000711022600004 | - |
dc.identifier.doi | 10.1253/circj.CJ-20-0999 | - |
dc.identifier.bibliographicCitation | Circulation Journal, v.85, no.11, pp.1944 - 1955 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85117892561 | - |
dc.citation.endPage | 1955 | - |
dc.citation.startPage | 1944 | - |
dc.citation.title | Circulation Journal | - |
dc.citation.volume | 85 | - |
dc.citation.number | 11 | - |
dc.contributor.affiliatedAuthor | Han, S.H. | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | 2-stenting technique | - |
dc.subject.keywordAuthor | Adjunctive pharmacotherapy | - |
dc.subject.keywordAuthor | Bifurcation | - |
dc.subject.keywordAuthor | Drug-eluting stents | - |
dc.subject.keywordAuthor | Left main disease | - |
dc.subject.keywordPlus | DUAL ANTIPLATELET THERAPY | - |
dc.subject.keywordPlus | PATIENT-LEVEL ANALYSIS | - |
dc.subject.keywordPlus | DOUBLE KISSING CRUSH | - |
dc.subject.keywordPlus | LEFT MAIN | - |
dc.subject.keywordPlus | INTERVENTION | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | PREDICTORS | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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