A comparison between drug-eluting stent implantation and drug-coated balloon angioplasty in patients with left main bifurcation in-stent restenotic lesions
DC Field | Value | Language |
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dc.contributor.author | Kook, Hyungdon | - |
dc.contributor.author | Kook, Hyungdon | - |
dc.contributor.author | Joo, Hyung Joon | - |
dc.contributor.author | Park, Jae Hyoung | - |
dc.contributor.author | Hong, Soon Jun | - |
dc.contributor.author | Yu, Cheol Woong | - |
dc.contributor.author | Lim, Do-Sun | - |
dc.date.accessioned | 2023-09-18T06:40:20Z | - |
dc.date.available | 2023-09-18T06:40:20Z | - |
dc.date.created | 2023-07-19 | - |
dc.date.issued | 2020-02 | - |
dc.identifier.issn | 1471-2261 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/190700 | - |
dc.description.abstract | Background The current guidelines recommend both repeat stenting and drug-coated balloons (DCB) for in-stent restenosis (ISR) lesions, if technically feasible. However, real-world clinical data on the interventional strategies in patients with left main bifurcation (LMB)-ISR have not been elucidated. Methods Seventy-five patients with LMB-ISR, who underwent percutaneous coronary intervention (PCI) between January 2009 and July 2015, were retrospectively reviewed for the present study (repeat drug eluting stent [DES] implantation [n = 51], DCB angioplasty [n = 24]). Results Analysis of the baseline characteristics showed that the patients in the DCB group had a lower incidence of non-ST segment elevation myocardial infarction/ST segment elevation myocardial infarction at the index PCI (8.3% vs. 25.5%; p = 0.12), higher low-density lipoprotein-cholesterol level (92.9 mg/dL vs. 81.7 mg/dL; p = 0.09), and more &quot;stent-in-stent&quot; lesions (25% vs. 7.8%; p = 0.07) than those in the DES group. A smaller post-procedural minimal target lesion lumen diameter was also noted in the DCB group than in the DES group (2.71 mm vs. 2.85 mm; p = 0.03). The cumulative incidence rates of major adverse cardiac events (MACEs) were similar between both groups (median follow-up duration, 868 days; MACE rate, 25% in the DCB group vs. 25.5% in the DES group; p = 0.96). The multivariate Cox regression analysis indicated that the true bifurcation of ISR was an independent risk predictor of MACEs (hazard ratio, 4.62; 95% confidence interval, 1.572-13.561; p < 0.01). Conclusions DES and DCB showed comparable long-term clinical results in patients with LMB-ISR lesions. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | BMC | - |
dc.title | A comparison between drug-eluting stent implantation and drug-coated balloon angioplasty in patients with left main bifurcation in-stent restenotic lesions | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kook, Hyungdon | - |
dc.identifier.doi | 10.1186/s12872-020-01381-9 | - |
dc.identifier.scopusid | 2-s2.0-85079605593 | - |
dc.identifier.wosid | 000517231500001 | - |
dc.identifier.bibliographicCitation | BMC CARDIOVASCULAR DISORDERS, v.20, no.1, pp.1 - 9 | - |
dc.relation.isPartOf | BMC CARDIOVASCULAR DISORDERS | - |
dc.citation.title | BMC CARDIOVASCULAR DISORDERS | - |
dc.citation.volume | 20 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 1 | - |
dc.citation.endPage | 9 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | CORONARY-ARTERY-DISEASERANDOMIZED-TRIAL5-YEAR OUTCOMESBYPASS-SURGERYMULTICENTERPREDICTORSMANAGEMENTCLASSIFICATIONINTERVENTIONMETAANALYSIS | - |
dc.subject.keywordAuthor | Left mainBifurcationDrug-eluting stentDrug coated balloonMajor adverse cardiac event | - |
dc.identifier.url | https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-020-01381-9 | - |
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