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Prognostic impact of final kissing balloon technique after crossover stenting for the left main coronary artery: from the AOI-LMCA registry

التفاصيل البيبلوغرافية
العنوان: Prognostic impact of final kissing balloon technique after crossover stenting for the left main coronary artery: from the AOI-LMCA registry
المؤلفون: Takashi Tamura, Kazuya Kawai, Takeshi Kimura, Kenji Ando, Yuhei Yamaji, Euihong Ko, Hiroki Sakamoto, Daisuke Furukawa, Mamoru Toyofuku, Kyohei Yamaji, Takeshi Morimoto, Hiromi Muranishi, Koji Nishida, Kazushige Kadota, Tomohisa Tada, Masanobu Ohya, Aoi Lmca Stenting Registry Investigators, Hirooki Higami, Yasushi Fuku
المصدر: Cardiovascular Intervention and Therapeutics
بيانات النشر: Springer Japan, 2018.
سنة النشر: 2018
مصطلحات موضوعية: Male, medicine.medical_specialty, One-stent strategy, Time Factors, medicine.medical_treatment, Population, Coronary Artery Disease, 030204 cardiovascular system & hematology, Coronary Angiography, 03 medical and health sciences, 0302 clinical medicine, Kissing balloon technique, Percutaneous Coronary Intervention, Japan, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, 030212 general & internal medicine, Registries, education, Aged, Retrospective Studies, education.field_of_study, Proportional hazards model, business.industry, Incidence (epidemiology), Percutaneous coronary intervention, General Medicine, Left main coronary artery, Prognosis, Coronary Vessels, Clinical trial, medicine.anatomical_structure, Treatment Outcome, Kissing balloon, Cardiology, Population study, Original Article, Female, Stents, Cardiology and Cardiovascular Medicine, business, Artery
الوصف: It is still uncertain whether the final kissing balloon technique (FKBT) is mandatory after crossover stenting for the left main coronary artery (LMCA). Assessing Optimal Percutaneous Coronary Intervention for LMCA (AOI-LMCA) registry, a 6-center retrospective registry, enrolled 1809 consecutive patients for LMCA stenting in Japan. In the present analysis, 5-year clinical outcomes were compared between non-FKBT (n = 160) and FKBT (n = 578) groups in patients treated with crossover stenting with drug-eluting stents from the LMCA to the left anterior descending artery. Propensity score-matched analysis was also performed in 160 patient pairs. In the entire study population as well as in the propensity-matched population, the cumulative 5-year incidence of the primary outcome measure (target lesion revascularization: TLR) was not significantly different between the FKBT and non-FKBT groups (10.7 versus 14.3%, P = 0.49, and 11.8 versus 14.3%, P = 0.53, respectively). In the sensitivity analysis by the multivariable Cox proportional hazard model, the effect of FKBT relative to non-FKBT for TLR remained insignificant (adjusted HR 0.89, 95% CI 0.47–1.69, P = 0.72). Regarding the TLR location, there were no significant differences in the cumulative incidences of TLR for LMCA-only, for the main branch, and for the side branch between the 2 groups (2.2 versus 1.3%, P = 0.93, 11.8 versus 9.1%, P = 0.71, and 8.2 versus 7.6%, P = 0.82, respectively). FKBT after a 1-stent strategy for LMCA crossover stenting did not affect TLR and other clinical outcomes during 5-year follow-up.Clinical Trial Registration: Assessing Optimal Percutaneous Coronary Intervention for Left Main Coronary Artery Stenting Registry (AOI LMCA Stenting Registry). http://www.umin.ac.jp/ctr/index/htm/. Unique Identifier: UMIN000014706.
اللغة: English
تدمد: 1868-4297
1868-4300
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d3dede5ac36cf2f00ef1bb132e48a864
http://europepmc.org/articles/PMC6561992
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....d3dede5ac36cf2f00ef1bb132e48a864
قاعدة البيانات: OpenAIRE
الوصف
تدمد:18684297
18684300