scholarly journals Comparison of 5-year clinical outcome of drug-eluting stent implantation in high-angled and lower-angled bifurcation lesion of unprotected left main coronary arteries

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P4802-P4802
Author(s):  
S. Nakamura ◽  
S. Nakamura ◽  
H. Ogawa ◽  
H. Cahyadi ◽  
W. Udayachalerm ◽  
...  
Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Sunao Nakamura ◽  
Hisao Ogawa ◽  
Jang-Ho Bae ◽  
Yeo Hans Cahyadi ◽  
Wasan Udayachalerm ◽  
...  

Aim : The aim of this study is to compare the 4 years safety and durability of drug-eluting stent implantation in non-bifurcation (ostium and/or mid shaft) (N-Bifur) and bifurcation (Bifur) lesion of unprotected left main coronary arteries (LMT). Methods : A prospective analysis of 448 patients with LMT stenosis (324 Bifur and 124 N-Bifur) in five high volume Asian centers after successful stenting in LMT was performed. LMT was treated with 5 strategies (single stenting 195 cases, T-stenting 47 cases, crush stenting 38 cases, Mini-crush stenting 93 cases, culotte stenting 54 cases, kissing stenting 21 cases). Complete clinical follow-up to 4 years is being analyzed for all 448 patients. Results : The baseline clinical characteristics between 2 groups were similar. Angiographic and clinical success were achieved in all patients without any major complication. At 4 years overall cardiac events of N-Bifur (14.5%) were significantly lower than Bifur (28.0%) (p=0.011). See figure for clinical results. Conclusion : The use of drug-eluting stent in patients with LMT was safe and feasible with low acute complication and low incidence of restenosis. Drug-eluting stent implantation in non-bifurcation lesion of LMT showed lesser incidence of cardiac events (death, myocardial infarction, CABG and PCI) compared with those of bifurcation lesion at 4 years clinical follow-up.


2007 ◽  
Vol 120 (7) ◽  
pp. 545-551 ◽  
Author(s):  
Lei GE ◽  
Cosgrave John ◽  
Iakovou Ioannis ◽  
Ju-ying QIAN ◽  
Agostoni Pierfrancesco ◽  
...  

2012 ◽  
Vol 33 (11) ◽  
pp. 1334-1343 ◽  
Author(s):  
S. Cook ◽  
P. Eshtehardi ◽  
B. Kalesan ◽  
L. Raber ◽  
P. Wenaweser ◽  
...  

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