Abstract:
BACKGROUND:It is said that the chronic outcomes of the two-stent technique for bifurcation lesions are inferior to that of cross-over single stenting. However, there are many cases where true bifurcations are difficult to treat by single stenting and, in particular, strategies for bifurcation lesions that are not left main trunk (LMT) bifurcations are still not clear. OBJECTIVE:This study aims to compare the usefulness of crush stenting with that of cross-over single stenting using the sirolimus-eluting stent (SES) on bifurcation lesions with the exclusion of LMT bifurcations. METHODS:Subjects were 92 consecutive patients (100 lesions) who underwent cross-over single stenting or crush stenting using SES for bifurcation lesions with the exclusion of LMT bifurcations. The patients were divided into 33 patients with 34 lesions, in whom the stent was implanted in the main vessel alone with the kissing balloon technique performed for the main vessel and side branch (Single-stenting group; S group), and 59 patients with 66 lesions, in whom the stent was implanted through crush stenting (Crush-stenting group; C group). The two groups were compared for target lesion revascularization (TLR) and major adverse cardiac events (MACE). RESULTS:There were no differences for TLR, with this conducted in the main vessel in 5.9% of S group and 4.5% of C group. There was no difference between the groups in MACE with 9.1% in S group and 8.5% in C group. No significant difference was seen in MACE-free survival rate in the chronic phase with 93.9% for S group and 94.9% for C group (P=NS). CONCLUSION:No differences in chronic clinical outcomes were revealed in a comparison between cross-over single stenting and crush stenting. Good clinical outcomes were achieved by both cross-over single stenting and crush stenting in the treatment of non-left main bifurcation lesions.
journal_name
J Cardioljournal_title
Journal of cardiologyauthors
Uchida Y,Wagatsuma K,Yamazaki Jdoi
10.1016/j.jjcc.2009.10.005subject
Has Abstractpub_date
2010-03-01 00:00:00pages
180-8issue
2eissn
0914-5087issn
1876-4738pii
S0914-5087(09)00279-2journal_volume
55pub_type
杂志文章abstract:OBJECTIVES:Rapid mobilization and discharge following rapid acute phase reperfusion are recommended for elderly patients with acute myocardial infarction to achieve a better outcome and performance. The safety and efficacy of new and old treatment protocols were retrospectively compared for patients with acute myocardi...
journal_title:Journal of cardiology
pub_type: 临床试验,杂志文章
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abstract:OBJECTIVES:To evaluate the effectiveness of pulmonary vein orifice cryoablation (PVOC) for atrial fibrillation during mitral valve surgery. METHODS:Twenty-two patients (12 men and 10 women) with mitral valve disease complicated with atrial fibrillation have been treated by PVOC since March 2000. During the mitral valv...
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pub_type: 杂志文章
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更新日期:2002-02-01 00:00:00
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journal_title:Journal of cardiology
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doi:
更新日期:1993-01-01 00:00:00
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journal_title:Journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.jjcc.2008.02.005
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journal_title:Journal of cardiology
pub_type: 杂志文章
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journal_title:Journal of cardiology
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journal_title:Journal of cardiology
pub_type: 杂志文章
doi:
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journal_title:Journal of cardiology
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doi:
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pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jjcc.2012.03.002
更新日期:2012-08-01 00:00:00
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journal_title:Journal of cardiology
pub_type: 临床试验,杂志文章
doi:
更新日期:1995-12-01 00:00:00
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pub_type: 杂志文章,meta分析
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doi:
更新日期:2003-12-01 00:00:00
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journal_title:Journal of cardiology
pub_type: 杂志文章
doi:
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journal_title:Journal of cardiology
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