Differential Prognostic Impact of Treatment Strategy Among Patients With Left Main Versus Non-Left Main Bifurcation Lesions Undergoing Percutaneous Coronary Intervention Results From the COBIS (Coronary Bifurcation Stenting) Registry II
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Song, Young Bin | - |
dc.contributor.author | Hahn, Joo-Yong | - |
dc.contributor.author | Yang, Jeong Hoon | - |
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 | Lee, Jae-Hwan | - |
dc.contributor.author | Yu, Cheol Woong | - |
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 | Oh, Ju Hyeon | - |
dc.contributor.author | Park, Jong-Seon | - |
dc.contributor.author | Gwon, Hyeon-Cheol | - |
dc.date.accessioned | 2021-09-05T10:46:03Z | - |
dc.date.available | 2021-09-05T10:46:03Z | - |
dc.date.created | 2021-06-15 | - |
dc.date.issued | 2014-03 | - |
dc.identifier.issn | 1936-8798 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/99068 | - |
dc.description.abstract | Objectives The authors sought to investigate whether the impact of treatment strategies on clinical outcomes differed between patients with left main (LM) bifurcation lesions and those with non-LM bifurcation lesions. Background Few studies have considered anatomic location when comparing 1- and 2-stent strategies for bifurcation lesions. Methods We compared the prognostic impact of treatment strategies on clinical outcomes in 2,044 patients with non-LM bifurcation lesions and 853 with LM bifurcation lesions. The primary outcome was target lesion failure (TLF) defined as a composite of cardiac death, myocardial infarction (MI), and target lesion revascularization. Results The 2-stent strategy was used more frequently in the LM bifurcation group than in the non-LM bifurcation group (40.3% vs. 20.8%, p < 0.01). During a median follow-up of 36 months, the 2-stent strategy was not associated with a higher incidence of cardiac death (hazard ratio [HR]: 1.24; 95% confidence interval [CI]: 0.72 to 2.14; p = 0.44), cardiac death or MI (HR: 1.12; 95% CI: 0.58 to 2.19; p = 0.73), or TLF (HR: 1.39; 95% CI: 0.99 to 1.94; p = 0.06) in the non-LM bifurcation group. In contrast, in patients with LM bifurcation lesions, the 2-stent strategy was associated with a higher incidence of cardiac death (HR: 2.43; 95% CI: 1.05 to 5.59; p = 0.04), cardiac death or MI (HR: 2.09; 95% CI: 1.08 to 4.04; p = 0.03), as well as TLF (HR: 2.38; 95% CI: 1.60 to 3.55; p < 0.01). Significant interactions were present between treatment strategies and bifurcation lesion locations for TLF (p = 0.01). Conclusions The 1-stent strategy, if possible, should initially be considered the preferred approach for the treatment of coronary bifurcation lesions, especially LM bifurcation lesions. (Korean Coronary Bifurcation Stenting [COBIS] Registry II; NCT01642992) (C) 2014 by the American College of Cardiology Foundation | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.subject | SIROLIMUS-ELUTING STENTS | - |
dc.subject | ARTERY BIFURCATION | - |
dc.subject | CLINICAL-OUTCOMES | - |
dc.subject | RANDOMIZED-TRIAL | - |
dc.subject | CRUSH TECHNIQUE | - |
dc.subject | RESTENOSIS | - |
dc.subject | NARROWINGS | - |
dc.subject | THROMBOSIS | - |
dc.subject | STENOSIS | - |
dc.title | Differential Prognostic Impact of Treatment Strategy Among Patients With Left Main Versus Non-Left Main Bifurcation Lesions Undergoing Percutaneous Coronary Intervention Results From the COBIS (Coronary Bifurcation Stenting) Registry II | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Yu, Cheol Woong | - |
dc.contributor.affiliatedAuthor | Rha, Seung Woon | - |
dc.identifier.doi | 10.1016/j.jcin.2013.11.009 | - |
dc.identifier.scopusid | 2-s2.0-84896546474 | - |
dc.identifier.wosid | 000333277600007 | - |
dc.identifier.bibliographicCitation | JACC-CARDIOVASCULAR INTERVENTIONS, v.7, no.3, pp.255 - 263 | - |
dc.relation.isPartOf | JACC-CARDIOVASCULAR INTERVENTIONS | - |
dc.citation.title | JACC-CARDIOVASCULAR INTERVENTIONS | - |
dc.citation.volume | 7 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 255 | - |
dc.citation.endPage | 263 | - |
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 | SIROLIMUS-ELUTING STENTS | - |
dc.subject.keywordPlus | ARTERY BIFURCATION | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | CRUSH TECHNIQUE | - |
dc.subject.keywordPlus | RESTENOSIS | - |
dc.subject.keywordPlus | NARROWINGS | - |
dc.subject.keywordPlus | THROMBOSIS | - |
dc.subject.keywordPlus | STENOSIS | - |
dc.subject.keywordAuthor | angioplasty | - |
dc.subject.keywordAuthor | bifurcation lesions | - |
dc.subject.keywordAuthor | drug-eluting stent(s) | - |
dc.subject.keywordAuthor | left main | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
145 Anam-ro, Seongbuk-gu, Seoul, 02841, Korea+82-2-3290-2963
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.