Final kissing balloon inflation for coronary bifurcation lesions treated with single-stent technique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-11-27

AUTHORS

G. Liu, X. Ke, Z.‑B. Huang, L.‑C. Wang, Z.‑N. Huang, Y. Guo, M. Long, X.‑X. Liao

ABSTRACT

BACKGROUND: The efficacy of final kissing balloon (FKB) inflation in one-stent techniques for bifurcation lesions is controversial. The goal of the present study was to investigate the impact of FKB on long-term clinical outcomes in one-stent strategies. METHODS: A literature search of the PubMed, Embase, and Cochrane Library databases was undertaken through August 2017. The primary outcome was major adverse cardiac events (MACE), defined as the composite of cardiac death, myocardial infarction, and target lesion revascularization. Overall hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated using the random-effects model. RESULTS: Ten studies comprising 7364 patients treated with a one-stent technique were included in the analysis. Overall, FKB did not demonstrate a significant reduction in MACE compared with non-FKB in both randomized trials (HR: 1.13; 95% CI: 0.65-1.98) and observational studies (HR: 0.86; 95% CI: 0.61-1.20). The risk of cardiac death (HR: 0.89; 95% CI: 0.53-1.49), myocardial infarction (HR: 0.76; 95% CI: 0.53-1.09), and target lesion revascularization (HR: 0.96; 95% CI: 0.74-1.23) was also similar in both groups. CONCLUSION: FKB may not be mandatory and a selective FKB strategy might be more justified in one-stent techniques for bifurcation lesions. More... »

PAGES

1-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00059-017-4647-1

DOI

http://dx.doi.org/10.1007/s00059-017-4647-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1093027777

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29181563


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