当前位置： SCI文献检索 > Journal of Cardiology期刊下所有文献 > Comparison of mid-term clinical outcomes between "complete full-metal jacket strategy" versus "incomplete full-metal jacket strategy" for diffuse right coronary artery stenosis with drug-eluting stents.

Comparison of mid-term clinical outcomes between "complete full-metal jacket strategy" versus "incomplete full-metal jacket strategy" for diffuse right coronary artery stenosis with drug-eluting stents.

Abstract：

BACKGROUND:The optimal strategy for diffuse right coronary artery (RCA) stenosis remains unclear. OBJECTIVE:The objective of this study was to compare the mid-term outcomes of "complete full-metal jacket (c-FMJ) stenting strategy" with "incomplete full-metal jacket (i-FMJ) stenting strategy" for the diffuse long RCA lesion using drug-eluting stents (DES). METHODS:Between July 2007 and October 2015, 121 patients underwent percutaneous coronary intervention (PCI) for diffuse RCA lesions using DES. Fifty-three patients underwent c-FMJ PCI, whereas 68 patients underwent i-FMJ. Thirty patients received angiographical follow-up in the c-FMJ group, while 34 patients received angiographical follow-up in the i-FMJ group. The primary endpoint was major adverse cardiac events (MACE): cardiac death, stent thrombosis (ST), target lesion revascularization (TLR), and target vessel revascularization (TVR). RESULTS:The incidence of MACE was significantly lower in the c-FMJ group (13.3%) as compared to the i-FMJ group (41.2%) (p=0.013). There was no cardiac death in either group. The incidence of ST was comparable between the i-FMJ group (2.9%) and c-FMJ group (3.3%) (p=1.00), while TLR was significantly less in the c-FMJ group (6.7%) compared to the i-FMJ group (32.4%) (p=0.011). CONCLUSIONS:The mid-term MACE was significantly less in the c-FMJ group than in the i-FMJ group, indicating that c-FMJ stenting was a favorable strategy for the diffuse long RCA lesion.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Yamamoto K,Sakakura K,Adachi Y,Taniguchi Y,Wada H,Momomura SI,Fujita H

doi

10.1016/j.jjcc.2016.09.014

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

823-829

issue

6

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(16)30230-1

journal_volume

69

pub_type

杂志文章

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