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Immediate and long-term outcome of intracoronary stent implantation for true bifurcation lesions.

Abstract：

OBJECTIVES:The aim of this study was to evaluate the immediate and long-term outcome of intracoronary stent implantation for the treatment of coronary artery bifurcation lesions. BACKGROUND:Balloon angioplasty of true coronary bifurcation lesions is associated with a lower success and higher complication rate than most other lesion types. METHODS:We treated 131 patients with bifurcation lesions with > or =1 stent. Patients were divided into two groups; Group (Gp) 1 included 77 patients treated with a stent in one branch and percutaneous transluminal coronary angioplasty (PTCA) (with or without atherectomy) in the side branch, and Gp 2 included 54 patients who underwent stent deployment in both branches. The Gp 2 patients were subsequently divided into two subgroups depending on the technique of stent deployment. The Gp 2a included 19 patients who underwent Y-stenting, and Gp 2b included 33 patients who underwent T-stenting. RESULTS:There were no significant differences between the groups in terms of age, gender, frequency of prior myocardial infarction (MI) or coronary artery bypass grafting (CABG), or vessels treated. Procedural success rates were excellent (89.5 to 97.4%). After one-year follow-up, no significant differences were seen in the frequency of major adverse events (death, MI, or repeat revascularization) between Gp 1 and Gp 2. Adverse cardiac events were higher with Y-stenting compared with T-stenting (86.3% vs. 30.4%, p = 0.004). CONCLUSIONS:Stenting of bifurcation lesions can be achieved with a high success rate. However, stenting of both branches offers no advantage over stenting one branch and performing balloon angioplasty of the other branch.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Al Suwaidi J,Berger PB,Rihal CS,Garratt KN,Bell MR,Ting HH,Bresnahan JF,Grill DE,Holmes DR Jr

doi

10.1016/s0735-1097(99)00648-8

subject

Has Abstract

pub_date

2000-03-15 00:00:00

pages

929-36

issue

4

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(99)00648-8

journal_volume

35

pub_type

杂志文章

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