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A Pilot Study on Culottes versus Crossover Single Stenting for True Coronary Bifurcation Lesions.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Zhang, Linlin Zhong, Wenliang Luo, Yu-Kun Chen, Lianglong |
| Copyright Year | 2016 |
| Abstract | BACKGROUND The purpose of our study was to compare clinical and angiographic outcomes of planned culottes technique with that of provisional crossover single stenting in the treatment of true coronary bifurcation lesions (CBL) with drug-eluting stent (DES). METHODS True CBL patients (n = 104) were randomly assigned to either the provisional stenting of the side branch (crossover group) or the culottes group. Additional side branch (SB) stenting in the crossover group was required if there was thrombolysis in myocardial infarction flow ≤ 1 flow). The primary end point was the occurrence of major adverse cardiac events (MACE) at nine months, including cardiac death, myocardial infarction, target lesion/vessel revascularization and in-stent thrombosis. The secondary end point was angiographic in-segment restenosis at nine months. RESULTS The rate of MACE at nine months was similar between the crossover and culottes groups (7.7% vs. 7.7%, p = 1.000). Additional SB stenting in the crossover group was required in 3.8% of patients. There was one procedural occlusion of SB in the crossover group. At nine months, the rate of in-segment restenosis was similar in the parent main vessel (0% vs. 1.9%, p = 1.000), main branch (1.9% vs. 7.7%, p = 0.363) and SB (17.3% vs. 9.6%, p = 0.250) between the crossover and culottes groups, respectively. CONCLUSIONS This study demonstrated that there is no significant difference in cumulative MACE or in-segment restenosis between crossover and culottes groups. Larger randomized clinical trials are warranted to re-evaluate the outcomes of the provisional crossover stenting versus the culottes stenting techniques utilizing DES for true CBL. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.tsoc.org.tw/upload/journal/1/20160714/acs-32-450.pdf |
| PubMed reference number | 27471358v1 |
| Volume Number | 32 |
| Issue Number | 4 |
| Journal | Acta Cardiologica Sinica |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Blood Vessel Tissue Cardiac Death Coronary Stenosis Drug-Eluting Stents Large Myocardial Infarction Natural Science Disciplines Patients PersonNameUse - assigned Stent Device Component Stent, device Thrombolysis, function Thrombosis True Hermaphroditism (disorder) restenosis revascularization |
| Content Type | Text |
| Resource Type | Article |
