Final kissing balloon inflation by classic crush stenting did not improve the clinical outcomes for the treatment of unprotected left main bifurcation lesions: The importance of double-kissing crush technique

2008 ◽  
Vol 71 (2) ◽  
pp. 166-172 ◽  
Author(s):  
Shaoliang Chen ◽  
Junjie Zhang ◽  
Fei Ye ◽  
Yundai Chen ◽  
Weiyi Fang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Left Main ◽  
Balloon Inflation ◽  
Bifurcation Lesions ◽  
Crush Technique

The Impact of Diabetes Mellitus on Clinical Outcomes after Percutaneous Coronary Intervention with Drug-Eluting Stents for Left Main Distal Bifurcation Lesions in Patients with Chronic Kidney Disease

2020 ◽  
Vol 10 (6) ◽  
pp. 382-391
Author(s):  
Yusuke Watanabe ◽  
Satoru Mitomo ◽  
Toru Naganuma ◽  
Kensuke Takagi ◽  
Satoshi Matsuoka ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Clinical Outcomes ◽  
Coronary Intervention ◽  
Target Lesion ◽  
Drug Eluting Stents ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Drug Eluting ◽  
Bifurcation Lesions ◽  
The Impact

<b><i>Background:</i></b> The impact of diabetes mellitus (DM) on clinical outcomes after percutaneous coronary intervention (PCI) for unprotected left main (ULM) distal bifurcation lesions in patients with chronic kidney disease (CKD) is poorly understood in the era of drug-eluting stents (DESs). <b><i>Objective:</i></b> We assessed the impact of DM on clinical outcomes after PCI for ULM distal bifurcation lesions in CKD patients compared to patients without DM. <b><i>Methods:</i></b> We identified 1,832 consecutive patients who underwent PCI for ULM lesions at New Tokyo Hospital, Matsudo, Japan, San Raffaele Scientific Institute, Milan, Italy, and EMO-GVM, Centro Cuore Columbus, Milan, Italy between January 2005 and August 2015. Of the 1,832 patients, 1,391 were treated with DESs. We excluded 750 patients without CKD and 89 hemodialysis patients. Finally, 552 patients with CKD were included: 219 with DM (DM group) and 333 without DM (no DM group). The primary endpoint was target lesion failure (TLF) at 5 years. TLF was defined as a composite of cardiac death, target lesion revascularization (TLR), and myocardial infarction. <b><i>Results:</i></b> Patients in the DM group were more likely to have hypertension, dyslipidemia, peripheral artery disease, and lower ejection fraction and were more frequently using insulin for DM. The TLF rate during the follow-up period was significantly higher in the DM than in the no DM group (adjusted hazard ratio [HR] 1.50; 95% confidence interval [CI] 1.06–2.13; <i>p</i> = 0.023). Cardiac mortality was comparable between both groups (adjusted HR 1.11; 95% CI 0.63–1.95; <i>p</i> = 0.71). The TLR rate was significantly higher in the DM group than in the no DM group (adjusted HR 1.69; 95% CI 1.12–2.54; <i>p</i> = 0.012). <b><i>Conclusion:</i></b> DM is strongly associated with adverse event after PCI for ULM distal bifurcation lesions in CKD patients compared to those without DM.

Clinical outcomes after final kissing balloon inflation compared with no final kissing balloon inflation in bifurcation lesions treated with a dedicated coronary bifurcation stent

Heart ◽  
2014 ◽  
Vol 100 (6) ◽  
pp. 479-486 ◽  
Author(s):  
Maik J Grundeken ◽  
Maciej Lesiak ◽  
Solomon Asgedom ◽  
Eulogio Garcia ◽  
Armando Bethencourt ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Coronary Bifurcation ◽  
Balloon Inflation ◽  
Bifurcation Stent ◽  
Bifurcation Lesions

Comparison of 3-year clinical outcomes between classic crush and modified mini-crush technique in coronary bifurcation lesions

2012 ◽  
Vol 82 (3) ◽  
pp. 370-376 ◽  
Author(s):  
Hyoung-Mo Yang ◽  
Seung-Jea Tahk ◽  
So-Yeon Choi ◽  
Myeong-Ho Yoon ◽  
Hong-Seok Lim ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Bifurcation Lesions ◽  
Crush Technique

scholarly journals TCT-692 Impact of Treatment Strategy on Clinical Outcomes Differs Between Patients with Left Main and those with Non-Left Main Bifurcation Lesions

2012 ◽  
Vol 60 (17) ◽  
pp. B201
Author(s):  
Young Bin Song ◽  
Jin-Ho Choi ◽  
Seung-Hyuk Choi ◽  
Hyeon-Cheol Gwon ◽  
Joo-Yong Hahn ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Treatment Strategy ◽  
Left Main ◽  
Bifurcation Lesions
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