Bibliographic Details
| Title: |
Effect of Final Kissing Balloon Dilatation after One-stent Technique at Left-main Bifurcation: A Single Center Data |
| Authors: |
Zhan Gao, Bo Xu, Yue-Jin Yang, Shu-Bin Qiao, Yong-Jian Wu, Tao Chen, Liang Xu, Jin-Qing Yuan, Jue Chen, Xue-Wen Qin, Min Yao, Hai-Bo Liu, Shi-Jie You, Ye-Lin Zhao, Hong-Bing Yan, Ji-Lin Chen, Run-Lin Gao |
| Source: |
Chinese Medical Journal, Vol 128, Iss 6, Pp 733-739 (2015) |
| Publisher Information: |
Wolters Kluwer, 2015. |
| Publication Year: |
2015 |
| Collection: |
LCC:Medicine |
| Subject Terms: |
Angioplasty, Balloon, Bifurcation, Percutaneous Coronary Angioplasty, Unprotected Left-main, Medicine |
| More Details: |
Background: Whether final kissing balloon (FKB) dilatation after one-stent implantation at left-main (LM) bifurcation site remains unclear. Therefore, this large sample and long-term follow-up study comparatively assessed the impact of FKB in patients with unprotected LM disease treated with one-stent strategy. Methods: Total 1528 consecutive patients underwent LM percutaneous coronary intervention in one center from January 2004 to December 2010 were enrolled; among them, 790 patients treated with one drug-eluting stent crossover LM to left anterior descending (LAD) with FKB (n = 230) or no FKB (n = 560) were comparatively analyzed. Primary outcome was the rate of major adverse cardiovascular events, defined as a composite of death, myocardial infarction (MI) and target vessel revascularization (TVR). Results: Overall, The prevalence of true bifurcation lesions, which included Medina classification (1,1,1), (1,0,1), or (0,1,1), was similar between-groups (non-FKB: 37.0% vs. FKB: 39.6%, P = 0.49). At mean 4 years follow-up, rates of major adverse cardiovascular events (non-FKB: 10.0% vs. FKB: 7.8%, P = 0.33), death, MI and TVR were not significantly different between-groups. In multivariate propensity-matched regression analysis, FKB was not an independent predictor of adverse outcomes. Conclusions: For patients treated with one-stent crossover LM to LAD, clinical outcomes appear similar between FKB and non-FKB strategy. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
0366-6999 |
| Relation: |
http://www.cmj.org/article.asp?issn=0366-6999;year=2015;volume=128;issue=6;spage=733;epage=739;aulast=Gao; https://doaj.org/toc/0366-6999 |
| DOI: |
10.4103/0366-6999.152468 |
| Access URL: |
https://doaj.org/article/d4437af50267409391b70ea8752bed9e |
| Accession Number: |
edsdoj.4437af50267409391b70ea8752bed9e |
| Database: |
Directory of Open Access Journals |
