Comparing Two-Stent Strategies for Bifurcation Coronary Lesions: Which Vessel Should be Stented First, the Main Vessel or the Side Branch?
DC Field | Value | Language |
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dc.contributor.author | Shin, Dong-Ho | - |
dc.contributor.author | Park, Kyung Woo | - |
dc.contributor.author | Koo, Bon-Kwon | - |
dc.contributor.author | Oh, Il-Young | - |
dc.contributor.author | Seo, Jae-Bin | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Jeong, Myung-Ho | - |
dc.contributor.author | Seong, In-Whan | - |
dc.contributor.author | Rha, Seung Woon | - |
dc.contributor.author | Yang, Ju-Young | - |
dc.contributor.author | Park, Seung-Jung | - |
dc.contributor.author | Yoon, Jung Han | - |
dc.contributor.author | Han, Kyoo-Rok | - |
dc.contributor.author | Park, Jong-Sun | - |
dc.contributor.author | Hur, Seung-Ho | - |
dc.contributor.author | Tahk, Seung-Jea | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.date.accessioned | 2021-09-07T09:54:30Z | - |
dc.date.available | 2021-09-07T09:54:30Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2011-08 | - |
dc.identifier.issn | 1011-8934 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/111891 | - |
dc.description.abstract | This study compared two-stent strategies for treatment of bifurcation lesions by stenting order, 'main across side first (A-family)' vs 'side branch first (S-family). The study population was patients from 16 centers in Korea who underwent drug eluting stent implantation with two-stent strategy (A-family: 109, S-family: 140 patients). The endpoints were cardiac death, myocardial infarction (MI), stent thrombosis (ST), and target lesion revascularization (TLR) during 3 years. During 440.8 person-years (median 20.2 months), there was 1 cardiac death, 4 MIs (including 2 STs), and 12 TLRs. Cumulative incidence of cardiac death, MI and ST was lower in A-family (0% in A-family vs 4.9% in S-family, P = 0.045). However, TLR rates were not different between the two groups (7.1% vs 6.2%, P = 0.682). Final kissing inflation (FKI) was a predictor of the hard-endpoint (hazard ratio 0.061; 95% CI 0.007-0.547, P = 0.013), but was not a predictor of TLR. The incidence of hard-endpoint of S-family with FKI was comparable to A-family, whereas S-family without FKI showed the poorest prognosis (1.1% vs 15.9%, retrospectively; P = 0.011). In conclusion, 'A-family' seems preferable to 'S-family' if both approaches are feasible. When two-stent strategy is used, every effort should be made to perform FKI, especially in 'S-family'. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | KOREAN ACAD MEDICAL SCIENCES | - |
dc.subject | SIROLIMUS-ELUTING STENTS | - |
dc.subject | ARTERIAL REVASCULARIZATION THERAPIES | - |
dc.subject | CRUSH TECHNIQUE | - |
dc.subject | CLINICAL-OUTCOMES | - |
dc.subject | RANDOMIZED-TRIAL | - |
dc.subject | SURVIVAL CURVES | - |
dc.subject | DISEASE | - |
dc.subject | CLASSIFICATION | - |
dc.subject | PREDICTORS | - |
dc.title | Comparing Two-Stent Strategies for Bifurcation Coronary Lesions: Which Vessel Should be Stented First, the Main Vessel or the Side Branch? | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Rha, Seung Woon | - |
dc.identifier.doi | 10.3346/jkms.2011.26.8.1031 | - |
dc.identifier.scopusid | 2-s2.0-80052676671 | - |
dc.identifier.wosid | 000293660200010 | - |
dc.identifier.bibliographicCitation | JOURNAL OF KOREAN MEDICAL SCIENCE, v.26, no.8, pp.1031 - 1040 | - |
dc.relation.isPartOf | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.title | JOURNAL OF KOREAN MEDICAL SCIENCE | - |
dc.citation.volume | 26 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 1031 | - |
dc.citation.endPage | 1040 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001575114 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | SIROLIMUS-ELUTING STENTS | - |
dc.subject.keywordPlus | ARTERIAL REVASCULARIZATION THERAPIES | - |
dc.subject.keywordPlus | CRUSH TECHNIQUE | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | SURVIVAL CURVES | - |
dc.subject.keywordPlus | DISEASE | - |
dc.subject.keywordPlus | CLASSIFICATION | - |
dc.subject.keywordPlus | PREDICTORS | - |
dc.subject.keywordAuthor | Bifurcation | - |
dc.subject.keywordAuthor | Coronary Artery Disease | - |
dc.subject.keywordAuthor | Drug-Eluting Stents | - |
dc.subject.keywordAuthor | Percutaneous Coronary Intervention | - |
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