Impact of non-compliant balloons on long-term clinical outcomes in coronary bifurcation lesions: results from the COBIS (COronary Bifurcation Stent) II registry
- Authors
- Park, Taek Kyu; Lee, Jae-Hwan; Song, Young Bin; Jeong, Jin-Ok; Hahn, Joo-Yong; Yang, Jeong Hoon; Choi, Seung-Hyuk; Choi, Jin-Ho; Lee, Sang Hoon; Jeong, Myung-Ho; Kim, Hyo-Soo; Oh, Ju Hyeon; Yu, Cheol Woong; Rha, Seung Woon; Jang, Yangsoo; Yoon, Jung Han; Tahk, Seung-Jea; Seung, Ki Bae; Park, Jong-Seon; Gwon, Hyeon-Cheol
- Issue Date
- 7월-2016
- Publisher
- EUROPA EDITION
- Keywords
- Angioplasty; Coronary bifurcation; Non-compliant balloon
- Citation
- EUROINTERVENTION, v.12, no.4, pp.456 - 464
- Indexed
- SCIE
SCOPUS
- Journal Title
- EUROINTERVENTION
- Volume
- 12
- Number
- 4
- Start Page
- 456
- End Page
- 464
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/88115
- DOI
- 10.4244/EIJV12I4A79
- ISSN
- 1774-024X
- Abstract
- Aims: Non-compliant balloons provide uniform radial force along the vessel wall at any inflation pressure. As a result, the use of non-compliant balloons may reduce side branch complications and optimise stent deployment. We sought to investigate the impact of non-compliant balloons on the long-term clinical outcomes of patients undergoing a coronary bifurcation intervention. Methods and results: A total of 2,897 patients treated with drug-eluting stents for bifurcation lesions were enrolled. Non-compliant balloons were used in 752 patients (26%). During a median three-year follow-up, major adverse cardiac events (MACE: cardiac death, myocardial infarction, or target lesion revascularisation) occurred less frequently in the non-compliant balloon group than in the compliant balloon group (8.2% versus 10.9%; p=0.03). After propensity score matching (710 pairs), the use of non-compliant balloons resulted in a lower rate of side branch dissection (0.1% versus 1.1%; p=0.046) and a higher rate of procedural success (79.0% versus 73.9%; p=0.01). The use of non-compliant balloons was associated with a lower risk of MACE (HR 0.64, 95% CI: 0.46-0.91; p=0.01) and cardiac death (HR 0.14, 95% CI: 0.03-0.64; p=0.01). Conclusions: The use of non-compliant balloons was associated with favourable procedural and long-term clinical outcomes in patients receiving coronary bifurcation intervention. ClinicalTrials.gov number: NCT01642992
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
- Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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