DK mini-culotte stenting in the treatment of true coronary bifurcation lesions: a propensity score matching comparison with T-provisional stenting View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-12-17

AUTHORS

Lin Fan, Lianglong Chen, Yukun Luo, Linlin Zhang, Wenliang Zhong, Chaogui Lin, Zhaoyang Chen, Yafei Peng, Xingchun Zhen, Xianfeng Dong

ABSTRACT

The conventional culotte technique remains not to be widely used for the treatment of coronary bifurcation lesions due to its inherent drawbacks. Here, we developed a double kissing mini-culotte stenting (DK mini-culotte) and assessed its efficacy and safety by a propensity score matching comparison (PSM) with T-provisional stenting. From June 2010 to June 2012, a total of 223 consecutive patients with true coronary bifurcation lesions (TCBLs) were treated with DK mini-culotte (91 patients with 92 lesions) or T-provisional stenting (132 patients with 135 lesions). We performed a PSM to correct the confounders from clinical and lesion’s characteristics. The primary endpoint was cumulative major adverse cardiac event (MACE) at 1 year including cardiac death, myocardial infarction, and target vessel revascularization or target lesion revascularization (TVR/TLR). The secondary endpoint was the rate of side branch (SB) restenosis at 12 months. After a PSM, there were 66 patients in each group. Additional SB stenting in the T-provisional group was performed in 10 (15.2 %) lesions. The incidence of 1-year cumulative MACE was 4.55 % for the DK mini-culotte versus 13.6 % for T-provisional stenting (P = 0.127), the rate of TVR/TLR was 1.52 % for DK mini-culotte versus 12.12 % for T-provisional stenting (P = 0.033). The SB binary restenosis rate was 5.6 % in the DK mini-culotte group and 22.4 % in the T-provisional group (P = 0.014). In summary, despite that there is no difference in MACE between groups, DK mini-culotte significantly reduce TVR/TLR and SB restenosis in the treatment of true coronary bifurcation lesions. More... »

PAGES

308-321

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00380-014-0611-7

DOI

http://dx.doi.org/10.1007/s00380-014-0611-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046909221

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25515667


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