Comparison of 2-Stenting Strategies Depending on Sequence or Technique for Bifurcation Lesions in the Second-Generation Drug-Eluting Stent Era - Analysis From the COBIS (Coronary Bifurcation Stenting) III Registry -
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kang, Jeehoon | - |
dc.contributor.author | Han, Jung-Kyu | - |
dc.contributor.author | Yang, Han-Mo | - |
dc.contributor.author | Park, Kyung Woo | - |
dc.contributor.author | Kang, Hyun-Jae | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.contributor.author | Chun, Woo Jung | - |
dc.contributor.author | Hur, Seung-Ho | - |
dc.contributor.author | Han, Seung Hwan | - |
dc.contributor.author | Rha, Seung-Woon | - |
dc.contributor.author | Chae, In-Ho | - |
dc.contributor.author | Jeong, Jin-Ok | - |
dc.contributor.author | Heo, Jung Ho | - |
dc.contributor.author | Yoon, Junghan | - |
dc.contributor.author | Lim, Do-Sun | - |
dc.contributor.author | Park, Jong-Seon | - |
dc.contributor.author | Hong, Myeong-Ki | - |
dc.contributor.author | Doh, Joon-Hyung | - |
dc.contributor.author | Cha, Kwang Soo | - |
dc.contributor.author | Doo-Il Kim | - |
dc.contributor.author | Lee, Sang Yeub | - |
dc.contributor.author | Chang, Kiyuk | - |
dc.contributor.author | Hwang, Byung-Hee | - |
dc.contributor.author | Choi, So-Yeon | - |
dc.contributor.author | Jeong, Myung Ho | - |
dc.contributor.author | Bin Song, Young | - |
dc.contributor.author | Choi, Ki Hong | - |
dc.contributor.author | Hong, Soon-Jun | - |
dc.contributor.author | Nam, Chang-Wook | - |
dc.contributor.author | Koo, Bon-Kwon | - |
dc.contributor.author | Kim, Hyo-Soo | - |
dc.date.accessioned | 2022-02-15T10:42:09Z | - |
dc.date.available | 2022-02-15T10:42:09Z | - |
dc.date.created | 2022-02-08 | - |
dc.date.issued | 2021-11 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/135853 | - |
dc.description.abstract | Background: It has not been determined which specific 2-stenting strategy is the best for bifurcation lesions. Our aim was to investigate the clinical outcomes of various 2-stenting strategies in the era of 2nd-generation drug-eluting stents (2G-DES). Methods and Results: We analyzed 454 patients who finally underwent 2-stenting for a bifurcation lesion, from among 2,648 patients enrolled in the COBIS III registry. The primary outcome was target lesion failure (TLF). Patients were analyzed according to stenting sequence (provisional [main vessel stenting first] vs. systemic [side branch stenting first]) and stenting technique (crush vs. T vs. culotte vs. kissing/V stenting). Overall, 4.4 years' TLF after 2-stenting treatment for bifurcation lesion was excellent: TLF 11.2% and stent thrombosis 1.3%. There was no difference in TLF according to 2-stenting strategy (11.1% vs. 10.5%, P=0.990 for provisional and systemic sequence; 8.6% vs. 14.4% vs. 12.9% vs. 12.2%, P=0.326 for crush, T, culotte, kissing/V technique, respectively). Only left main (LM) disease and a shorter duration of dual antiplatelet therapy (DAPT) were associated with TLF. The distribution of DAPT duration differed between patients with and without TLF, and the time-point of intersection was 2.5 years. Also, the side branch was the most common site of restenosis. Conclusions: The stenting sequence or technique did not affect clinical outcomes, but LM disease and shorter DAPT were associated with TLF, in patients with bifurcation lesions undergoing 2-stenting with 2G-DES. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | JAPANESE CIRCULATION SOC | - |
dc.subject | DUAL ANTIPLATELET THERAPY | - |
dc.subject | PATIENT-LEVEL ANALYSIS | - |
dc.subject | DOUBLE KISSING CRUSH | - |
dc.subject | LEFT MAIN | - |
dc.subject | INTERVENTION | - |
dc.subject | MULTICENTER | - |
dc.subject | PREDICTORS | - |
dc.subject | OUTCOMES | - |
dc.title | Comparison of 2-Stenting Strategies Depending on Sequence or Technique for Bifurcation Lesions in the Second-Generation Drug-Eluting Stent Era - Analysis From the COBIS (Coronary Bifurcation Stenting) III Registry - | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lim, Do-Sun | - |
dc.identifier.doi | 10.1253/circj.CJ-20-0999 | - |
dc.identifier.scopusid | 2-s2.0-85117892561 | - |
dc.identifier.wosid | 000711022600004 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, v.85, no.11, pp.1944 - + | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.citation.title | CIRCULATION JOURNAL | - |
dc.citation.volume | 85 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1944 | - |
dc.citation.endPage | + | - |
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 | DOUBLE KISSING CRUSH | - |
dc.subject.keywordPlus | DUAL ANTIPLATELET THERAPY | - |
dc.subject.keywordPlus | INTERVENTION | - |
dc.subject.keywordPlus | LEFT MAIN | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | PATIENT-LEVEL ANALYSIS | - |
dc.subject.keywordPlus | PREDICTORS | - |
dc.subject.keywordAuthor | 2-stenting technique | - |
dc.subject.keywordAuthor | Adjunctive pharmacotherapy | - |
dc.subject.keywordAuthor | Bifurcation | - |
dc.subject.keywordAuthor | Drug-eluting stents | - |
dc.subject.keywordAuthor | Left main disease | - |
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