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Research Article Open access CC BY 4.0

Procedural and Clinical Outcomes in Management of Left Main Coronary Artery Bifurcational Lesions

Adel Mohamed Morsy, Mohamed Ahmed Abdelaal, Mahmoud Zaky Alamrousy, Mohamed Alsayed Elsetiha, Magdy Mohamed Elmasry

Cardiology and Angiology: An International Journal · pp. 102–112 · Published 7 Jun 2022

10.9734/ca/2022/v11i430212

Abstract

Background: Around 20% of percutaneous coronary interventions (PCIs) are used to treat coronary bifurcation syndromes. Technical success was defined as successfully bridging the occluded portion with a wire and balloon and reopening the artery with a 40% residual stenosis in all views. Technical success is defined by the absence of a serious adverse cardiac event throughout the hospital stay (MACE). The purpose of this study was to evaluate the procedural and clinical results associated with LM bifurcational intervention. Methods: A controlled study was carried out on 100 patients eligible to Left Main bifurcational intervention were included. the patients were divided into two groups according to the stenting technique used, the provisional group (n=70) who managed with one stent strategy, and the non-provisional group (n=30) who managed with a double kissing crush, culotte, T stenting, or TAP technique. This study recorded the incidence of MACE: death, non-fatal myocardial infarction, or target lesion revascularizations were recorded at 6 and 12 months of follow-up. Results: It is insignificantly different mortality incidence between the 2 groups but non-fatal myocardial infarction, stent thrombosis, re-PTCA, and target lesion revascularizations were significantly increased in the non-provisional group. As regards clinical success in 2 groups, this study found 68 patients in the provisional group and 24 patients in the non-provisional group fulfilled the characteristics of clinical success. Conclusions: In LM-bifurcational intervention, there is a significant increase in the incidence of MACE in the non-provisional group and so the clinical outcome is better in the provisional stenting than the non-provisional stenting.

Left main coronary artery bifurcational lesions percutaneous coronary interventions

References (22)

  1. 1 Everolimus-Eluting Stents or Bypass Surgery for Left Main Coronary Artery Disease [DOI]
  2. 2 Percutaneous coronary angioplasty versus coronary artery bypass grafting in treatment of unprotected left main stenosis (NOBLE): a prospective, randomised, open-label, non-inferiority trial [DOI]
  3. 3 Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: a 20-year experience [DOI]
  4. 4 A New Classification of Coronary Bifurcation Lesions [DOI]
  5. 5 Physiologic Assessment of Jailed Side Branch Lesions Using Fractional Flow Reserve [DOI]
  6. 6 Double Kissing Crush Versus Provisional Stenting for Left Main Distal Bifurcation Lesions [DOI]
  7. 7 Percutaneous coronary intervention for coronary bifurcation disease: 11th consensus document from the European Bifurcation Club [DOI]
  8. 8 Percutaneous coronary intervention for bifurcation coronary disease [DOI]
  9. 9 3-Year Outcomes of the DKCRUSH-V Trial Comparing DK Crush With Provisional Stenting for Left Main Bifurcation Lesions [DOI]
  10. 10 Consensus from the 7th European Bifurcation Club meeting [DOI]
  11. 11 Consensus from the 5th European Bifurcation Club meeting [DOI]
  12. 12 Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club [DOI]
  13. 13 Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club [DOI]
  14. 14 Current Interventions for the Left Main Bifurcation [DOI]
  15. 15 Study comparing the double kissing (DK) crush with classical crush for the treatment of coronary bifurcation lesions: the DKCRUSH‐1 Bifurcation Study with drug‐eluting stents [DOI]
  16. 16 Frequency domain optical coherence tomography to assess non-ostial left main coronary artery [DOI]
  17. 17 Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries: a 20-year experience [DOI]
  18. 18 Technical aspects of the provisional side branch stenting strategy [DOI]
  19. 19 Daily risk of adverse outcomes in patients undergoing complex lesions revascularization: A subgroup analysis from the RAIN-CARDIOGROUP VII study (veRy thin stents for patients with left mAIn or bifurcatioN in real life) [DOI]
  20. 20 Impact of non-compliant balloons on long-term clinical outcomes in coronary bifurcation lesions: results from the COBIS (COronary BIfurcation Stent) II registry [DOI]
  21. 21 Double Kissing Crush versus Provisional Stenting for Left Main Distal Bifurcation Lesions: The DKCRUSH-V Randomized Trial
  22. 22 Coronary Bifurcation Disease and Bifurcation Stenting: A Practical Approach [DOI]

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