Comparison of Different Side Branch Ballooning Following Provisional Stenting in Coronary Bifurcation Lesion-Related STEMI.
СтатьяСравнительное исследованиеМногоцентровое исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Akman Cemalettin, Güner Ahmet, Zehir Regayip, Şimşek Barış, Öz Ahmet, Yemiş Mustafa Kamil, Erdöl Mehmet Akif, Serin Ebru, Tanık Veysel Ozan, Keten Mustafa Ferhat, Çelik Ezgi Merve, Serter Berkay, Çörekçioğlu Büşra, Gökçe Kaan, Çiloğlu Koray, Doğan Abdullah, Güner Ezgi Gültekin, Gök Saner Bahadır, Nural Ali, Cebeci Ahmet Ceyhun, Kılınç Ali Yaşar, Apaydın Ziya, Dolu Abdullah Kadir, Sarı Mustafa, Evlice Mert, Paçacı Emre, Ağuş Hicaz Zencirkıran, Kaya Azmican, Demirci Koray, Şimşek Aybüke, Bedir Fatih Furkan, Yılmaz Yusuf Yiğit, Özel Adnan, Karakaya Esin, Öztürk Ali, Uysal Hande, Çakal Sinem Deniz, Keskin Kudret, Yalçın Ahmet Arif, Uzun Fatih
Аннотация
The present study retrospectively assessed clinical outcomes of proximal optimization technique (POT)-kissing-POT (PKP) and POT-side-POT (PSP) in ST-segment elevation myocardial infarction (STEMI) patients with culprit coronary bifurcation lesion (CBL) following a provisional stenting (PS). This large-scale multicenter (n = 10) study included STEMI patients with culprit CBLs who underwent PKP or PSP following PS. The primary endpoint was defined as the major adverse cardiac events (MACE; cardiac death, target vessel myocardial infarction [TVMI], or clinically driven target lesion revascularization [TLR]). Consecutive patients (n = 596; male: 491 [82.3%], mean age: 58.1 ± 11.7 years) were included. The study cohort was divided into 2 groups: PKP (n = 386) and PSP (n = 210). In the overall population, mid-term MACE (hazard ratio [HR]: 0.921, P = .461) did not differ in individuals with CBL-related STEMI treated with either PKP or PSP. The frequency of main vessel-TLR (0% vs 30%, P = .001) and main vessel-TVMI (0% vs 20%, P = .014) were significantly lower in the PKP group in the left main bifurcation localization. Diabetes mellitus (HR: 2.628, P < .001), high SYNTAX score (HR: 1.081, P < .001), and bifurcation localization (HR: 2.109, P = .014) were found to be independent predictors of MACE. In the overall population, risk-adjusted MACE rates for culprit CBLs were comparable between both techniques.