Final kissing ballooning and long-term clinical outcomes in coronary bifurcation lesions treated with 1-stent technique: results from the COBIS registry
DC Field | Value | Language |
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dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Hahn, Joo-Yong | - |
dc.contributor.author | Koo, Bon-Kwon | - |
dc.contributor.author | Song, Young Bin | - |
dc.contributor.author | Choi, Seung-Hyuk | - |
dc.contributor.author | Choi, Jin-Ho | - |
dc.contributor.author | Lee, Sang Hoon | - |
dc.contributor.author | Jeong, Myung-Ho | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.contributor.author | Seong, In-Whan | - |
dc.contributor.author | Yang, Ju-Young | - |
dc.contributor.author | Rha, Seung Woon | - |
dc.contributor.author | Jang, Yangsoo | - |
dc.contributor.author | Yoon, Jung Han | - |
dc.contributor.author | Tahk, Seung-Jea | - |
dc.contributor.author | Seung, Ki Bae | - |
dc.contributor.author | Park, Seung-Jung | - |
dc.date.accessioned | 2021-09-06T10:38:43Z | - |
dc.date.available | 2021-09-06T10:38:43Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2012-02 | - |
dc.identifier.issn | 1355-6037 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/106191 | - |
dc.description.abstract | Background Whether final kissing ballooning (FKB) is mandatory in the 1-stent technique is uncertain. Objective To evaluate the effect of FKB on long-term clinical outcomes in coronary bifurcation lesions treated with the 1-stent technique. Methods Consecutive patients undergoing percutaneous coronary intervention using drug-eluting stents for non-left main bifurcation lesions were enrolled from 16 centres in Korea between January 2004 and June 2006. In patients treated with the 1-stent technique major adverse cardiac events (MACE; cardiac death, myocardial infarction (MI), or target lesion revascularisation (TLR)) were compared between those undergoing main vessel stenting only (non-FKB group, n=736) or those undergoing FKB after main vessel stenting (FKB group, n=329). Propensity score-matching analysis was also performed in 222 patient pairs (444 from the non-FKB group and 222 from the FKB group). Results During follow-up (median 22 months), the FKB group had a higher incidence of MACE (HR 2.58; 95% CI 1.52 to 4.37; p<0.001) and TLR (HR 3.63; 95% CI 2.00 to 6.56; p<0.001), but not of cardiac death or MI. Most TLR occurred in the main vessel (HR 3.39 for the FKB group; 95% CI 1.86 to 6.19; p<0.001). The rate of stent thrombosis was similar in both groups (0.5% in the non-FKB group vs 0.6% in the FKB group, p=0.99). After propensity score matching, the FKB group still had higher rates of MACE and TLR than the non-FKB group (HR 2.13; 95% CI 1.15 to 3.95; p=0.02 and HR 2.84; 95% CI 1.45 to 5.55; p=0.002, respectively). Conclusions In patients treated with the 1-stent technique for bifurcation lesions, FKB after main vessel stenting may be harmful mainly due to increased TLR. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | B M J PUBLISHING GROUP | - |
dc.subject | STENT IMPLANTATION | - |
dc.subject | CRUSH TECHNIQUE | - |
dc.subject | PREDICTORS | - |
dc.subject | STRATEGIES | - |
dc.title | Final kissing ballooning and long-term clinical outcomes in coronary bifurcation lesions treated with 1-stent technique: results from the COBIS registry | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Rha, Seung Woon | - |
dc.identifier.doi | 10.1136/heartjnl-2011-300322 | - |
dc.identifier.scopusid | 2-s2.0-84655161438 | - |
dc.identifier.wosid | 000298662100010 | - |
dc.identifier.bibliographicCitation | HEART, v.98, no.3, pp.225 - 231 | - |
dc.relation.isPartOf | HEART | - |
dc.citation.title | HEART | - |
dc.citation.volume | 98 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 225 | - |
dc.citation.endPage | 231 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.subject.keywordPlus | STENT IMPLANTATION | - |
dc.subject.keywordPlus | CRUSH TECHNIQUE | - |
dc.subject.keywordPlus | PREDICTORS | - |
dc.subject.keywordPlus | STRATEGIES | - |
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