Final kissing balloon dilatation in patients with coronary bifurcation lesions treated with an upfront provisional stenting strategy

被引：0

作者：

De Filippo, Ovidio ^{[1
]}

Kang, Jeehoon ^{[2
,3
]}

Bruno, Francesco ^{[1
]}

Bin Song, Young ^{[4
]}

Campagnuolo, Salvatore ^{[5
]}

Choi, Ki Hong ^{[4
]}

Pinxterhuis, Tineke H. ^{[6
,7
]}

Kim, Hyun Kuk ^{[8
,9
]}

Mattesini, Alessio ^{[10
]}

Cho, Yun-Kyeong ^{[11
]}

Piccolo, Raffaele ^{[12
]}

Lee, Hyun-Jong ^{[13
]}

Wanha, Wojciech ^{[14
]}

Cortese, Bernardo ^{[15
,16
]}

Han, Seung Hwan ^{[17
]}

Perl, Leor ^{[18
]}

Hur, Seung-Ho ^{[11
]}

Tuttolomondo, Domenico ^{[19
]}

Iannaccone, Mario ^{[20
]}

Chun, Woo Jung ^{[21
]}

Greco, Antonio ^{[22
]}

Leone, Attilio ^{[12
]}

Giachet, Alessandra Truffa ^{[23
]}

Gwon, Hyeon-Cheol ^{[4
]}

Stefanini, Giulio ^{[24
,25
]}

Kim, Hyo-Soo ^{[2
,3
]}

Escaned, Javier ^{[26
,27
]}

Carmeci, Antonino ^{[1
]}

Campo, Gianluca ^{[28
]}

Patti, Giuseppe ^{[29
]}

Capodanno, Davide ^{[22
]}

von Birgelen, Clemens ^{[6
,7
]}

Koo, Bon-Kwon ^{[2
,3
]}

Ferrari, Gaetano Maria de ^{[1
,5
]}

Nam, Chang-Wook ^{[11
]}

D'Ascenzo, Fabrizio ^{[1
,5
]}

机构：

[1] AOU Citta Salute & Sci, Cardiovasc & Thorac Dept, Div Cardiol, Turin, Italy

[2] Seoul Natl Univ Hosp, Dept Internal Med, Seoul, South Korea

[3] Seoul Natl Univ Hosp, Cardiovasc Ctr, Seoul, South Korea

[4] Sungkyunkwan Univ, Heart Vasc Stroke Inst, Dept Internal Med, Div Cardiol,Samsung Med Ctr,Sch Med, Seoul, South Korea

[5] Univ Turin, Dept Med Sci, Turin, Italy

[6] Med Spectrum Twente, Dept Cardiol, Thorax Ctr Twente, Enschede, Netherlands

[7] Univ Twente, BMS Fac, Tech Med Ctr, Dept Hlth Technol & Serv Res, Enschede, Netherlands

[8] Univ Chosun, Chosun Univ Hosp, Coll Med, Dept Internal Med, Gwangju, South Korea

[9] Univ Chosun, Chosun Univ Hosp, Cardiovasc Ctr, Coll Med, Gwangju, South Korea

[10] Azienda Osped Univ Careggi, Cardiol Interventist, Florence, Italy

[11] Keimyung Univ, Dongsan Hosp, Dept Internal Med, Div Cardiol, Daegu, South Korea

[12] Univ Naples Federico II, Dept Adv Biomed Sci, Div Cardiol, Naples, Italy

[13] Sejong Gen Hosp, Dept Cardiol, Dept Internal Med, Bucheon, South Korea

[14] Med Univ Silesia, Cardiol & Struct Heart Dis, Katowice, Poland

[15] Fdn Ric & Innovaz Cardiovasc, Milan, Italy

[16] DCB Acad, Milan, Italy

[17] Gachon Univ, Dept Internal Med, Gil Hosp, Incheon, South Korea

[18] Beilinson Med Ctr, Rabin Med Ctr, Cardiol Dept, Petah Tiqwa, Israel

[19] Univ Hosp Parma, Cardiol Unit, Parma, Italy

[20] Osped San Giovanni Bosco, Div Cardiol, Turin, Italy

[21] Samsung Changwon Hosp, Dept Internal Med, Chang Won, South Korea

[22] Univ Catania, Azienda Osped Univ Policlin G Rodol San Marco, Catania, Italy

[23] Ivrea Hosp, Div Cardiol, Ivrea, Italy

[24] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, Italy

[25] IRCCS Humanitas Res Hosp, Rozzano, Italy

[26] Univ Complutense Madrid, Hosp Clin San Carlos IdISSC, Madrid, Spain

[27] CIBER CV, Madrid, Spain

[28] Azienda Osped Univ Ferrara, Cardiovasc Inst, Cona, Italy

[29] Univ Eastern Piedmont Amedeo Avogadro, Novara, Italy

来源：

EUROINTERVENTION | 2025年 / 21卷 / 06期

关键词：

coronary bifurcation; final kissing balloon; percutaneous coronary intervention; provisional stenting; TERM CLINICAL-OUTCOMES; RANDOMIZED-TRIAL; CRUSH TECHNIQUE; BRANCH; INTERVENTION; IMPLANTATION; METAANALYSIS; INFLATION; TRUE;

D O I：

10.4244/EIJ-D-24-00471

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND: The impact of final kissing balloon inflation (FKB) in patients treated with an upfront provisional strategy for coronary bifurcation lesions is controversial. AIMS: We aimed to assess the impact of FKB on patient-and lesion-oriented outcomes in a large real-world cohort. METHODS: The ULTRA-BIFURCAT registry was obtained by patient-level merging the BIFURCAT and ULTRA registries. Pairs of patients were generated with propensity score matching (PSM). The primary outcome of interest was major adverse cardiac events (MACE) - a composite of all-cause death, myocardial infarction (MI), target lesion revascularisation (TLR) or stent thrombosis. A lesion-oriented composite outcome (LOCO) - a composite of target vessel MI (TVMI) or TLR - along with each single component of MACE represented the secondary outcomes. Subgroup analyses included the site of bifurcation (unprotected left main [ULM] vs non-ULM), side branch involvement (true bifurcation vs non-true bifurcation), side branch diameter and lesion length. Follow-up was censored at 800 days. RESULTS: A total of 5,607 patients undergoing a provisional stenting technique were selected for the present analysis. PSM generated 1,784 pairs. Between the matched patients with FKB versus no FKB, no significant difference in MACE was observed (9.0% vs 8.6%; p=0.68). FKB was associated with a lower rate of the LOCO (1.9% vs 2.9%; p=0.04) compared to the no FKB group, driven by lower rates of TVMI (0.2% vs 0.5%; p=0.03) and TLR (1.8% vs 2.6%; p=0.14). These results were confirmed in the subgroups of patients treated for bifurcations with side branches with a diameter >2.5 mm and for true coronary bifurcation lesions. CONCLUSIONS: Among patients treated for coronary bifurcation lesions with provisional stenting, FKB had no significant impact on MACE but was associated with a mild reduction in the incidence of the LOCO.

引用

页码：e318 / e328

页数：21

共 30 条

[1] To kiss or not to kiss? Impact of final kissing-balloon inflation on early and long-term results of percutaneous coronary intervention for bifurcation lesions [J].

Biondi-Zoccai, Giuseppe ;

Sheiban, Imad ;

De Servi, Stefano ;

Tamburino, Corrado ;

Sangiorgi, Giuseppe ;

Romagnoli, Enrico .

HEART AND VESSELS, 2014, 29 (06) :732-742

[2] European Bifurcation Club white paper on stenting techniques for patients with bifurcated coronary artery lesions [J].

Burzotta, Francesco ;

Lassen, Jens Flensted ;

Louvard, Yves ;

Lefevre, Thierry ;

Banning, Adrian P. ;

Daremont, Olivier ;

Pan, Manuel ;

Hildick-Smith, David ;

Chieffo, Alaide ;

Chatzizisis, Yiannis S. ;

Dzavik, Vladimir ;

Gwon, Hyeon-Cheol ;

Hikichi, Yutaka ;

Murasato, Yoshinobu ;

Koo, Bon Kwon ;

Chen, Shao-Liang ;

Serruys, Patrick ;

Stankovic, Goran .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2020, 96 (05) :1067-1079

[3] Prediction of the localization of high-risk coronary atherosclerotic plaques on the basis of low endothelial shear stress - An intravascular ultrasound and histopathology natural history study [J].

Chatzizisis, Yiannis S. ;

Jonas, Michael ;

Coskun, Ahmet U. ;

Beigel, Roy ;

Stone, Benjamin V. ;

Maynard, Charles ;

Gerrity, Ross G. ;

Daley, William ;

Rogers, Campbell ;

Edelman, Elazer R. ;

Feldman, Charles L. ;

Stone, Peter H. .

CIRCULATION, 2008, 117 (08) :993-1002

[4] A Randomized Clinical Study Comparing Double Kissing Crush With Provisional Stenting for Treatment of Coronary Bifurcation Lesions Results From the DKCRUSH-II (Double Kissing Crush versus Provisional Stenting Technique for Treatment of Coronary Bifurcation Lesions) Trial [J].

Chen, Shao-Liang ;

Santoso, Teguh ;

Zhang, Jun-Jie ;

Ye, Fei ;

Xu, Ya-Wei ;

Fu, Qiang ;

Kan, Jing ;

Paiboon, Chitprapai ;

Zhou, Yong ;

Ding, Shi-Qing ;

Kwan, Tak W. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (08) :914-920

[5] Randomized Study of the Crush Technique Versus Provisional Side-Branch Stenting in True Coronary Bifurcations The CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents) Study [J].

Colombo, Antonio ;

Bramucci, Ezio ;

Sacca, Salvatore ;

Violini, Roberto ;

Lettieri, Corrado ;

Zanini, Roberto ;

Sheiban, Imad ;

Paloscia, Leonardo ;

Grube, Eberhard ;

Schofer, Joachim ;

Bolognese, Leonardo ;

Orlandi, Mario ;

Niccoli, Giampaolo ;

Latib, Azeem ;

Airoldi, Flavio .

CIRCULATION, 2009, 119 (01) :71-U118

[6] Impact of Final Kissing Balloon and of Imaging on Patients Treated on Unprotected Left Main Coronary Artery With Thin-Strut Stents (From the RAIN-CARDIOGROUP VII Study) [J].

D'Ascenzo, Fabrizio ;

Omede, Pierluigi ;

De Filippo, Ovidio ;

Cerrato, Enrico ;

Autelli, Michele ;

Trabattoni, Daniela ;

Ryan, Nicola ;

Venuti, Giuseppe ;

Muscoli, Saverio ;

Montabone, Andrea ;

Wojakowski, Wojciech ;

Rognoni, Andrea ;

Helft, Gerard ;

Gallo, Diego ;

Parma, Radoslaw ;

De Luca, Leonardo ;

Figini, Filippo ;

Mitomo, Satoru ;

Boccuzzi, Giacomo ;

Mattesini, Alessio ;

Wanha, Wojciech ;

Smolka, Grzegorz ;

Huczek, Zenon ;

Cortese, Bernardo ;

Sheiban, Imad ;

Escaned, Javier ;

Biole, Carloalberto ;

Conrotto, Federico ;

Templin, Christian ;

Quadri, Giorgio ;

Rolfo, Cristina ;

Capodanno, Davide ;

Chieffo, Alaide ;

Nunez-Gil, Ivan ;

Morbiducci, Umberto ;

Iannaccone, Mario ;

Gili, Sebastiano ;

di Mario, Carlo ;

Moretti, Claudio ;

D'Amico, Maurizio ;

Varbella, Ferdinando ;

Romeo, Francesco ;

Luscher, Thomas F. .

AMERICAN JOURNAL OF CARDIOLOGY, 2019, 123 (10) :1610-1619

[7] Predictors of target lesion failure after treatment of left main, bifurcation, or chronic total occlusion lesions with ultrathin-strut drug-eluting coronary stents in the ULTRA registry [J].

de Filippo, Ovidio ;

Bruno, Francesco H. ;

Pinxterhuis, Tineke H. ;

Gasior, Mariusz ;

Perl, Leor ;

Gaido, Luca ;

Tuttolomondo, Domenico ;

Greco, Antonio ;

Verardi, Roberto ;

Lo Martire, Gianluca ;

Iannaccone, Mario ;

Leone, Attilio ;

Liccardo, Gaetano ;

Caglioni, Serena ;

Ferreiro, Rocio Gonzalez ;

Rodino, Giulio ;

Musumeci, Giuseppe ;

Patti, Giuseppe ;

Borzillo, Irene ;

Tarantini, Giuseppe ;

Wanha, Wojciech ;

Casella, Bruno H. ;

Ploumen, Eline H. ;

Pyka, Lukasz ;

Kornowski, Ran ;

Gagnor, Andrea ;

Piccolo, Raffaele ;

Roubin, Sergio Raposeiras ;

Capodanno, Davide ;

Zocca, Paolo ;

Conrotto, Federico M. ;

De Ferrari, Gaetano M. ;

von Birgelen, Clemens ;

D'Ascenzo, Fabrizio .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2023, 102 (02) :221-232

[8] Clinical Outcomes Following Coronary Bifurcation PCI Techniques A Systematic Review and Network Meta-Analysis Comprising 5,711 Patients [J].

Di Gioia, Giuseppe ;

Sonck, Jeroen ;

Ferenc, Miroslaw ;

Chen, Shao-Liang ;

Colaiori, Iginio ;

Gallinoro, Emanuele ;

Mizukami, Takuya ;

Kodeboina, Monika ;

Nagumo, Sakura ;

Franco, Danilo ;

Bartunek, Jozef ;

Vanderheyden, Marc ;

Wyffels, Eric ;

De Bruyne, Bernard ;

Lassen, Jens F. ;

Bennett, Johan ;

Vassilev, Dobrin ;

Serruys, Patrick W. ;

Stankovic, Goran ;

Louvard, Yves ;

Barbato, Emanuele ;

Collet, Carlos .

JACC-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (12) :1432-1444

[9] Randomized trial on routine vs. provisional T-stenting in the treatment of de novo coronary bifurcation lesions [J].

Ferenc, Miroslaw ;

Gick, Michael ;

Kienzle, Rolf-Peter ;

Bestehorn, Hans-Peter ;

Werner, Klaus-Dieter ;

Comberg, Thomas ;

Kuebler, Piotr ;

Buettner, Heinz Joachim ;

Neumann, Franz-Josef .

EUROPEAN HEART JOURNAL, 2008, 29 (23) :2859-2867

[10] Impact of Kissing Balloon in Patients Treated With Ultrathin Stents for Left Main Lesions and Bifurcations An Analysis From the RAIN-CARDIOGROUP VII Study [J].

Gaido, Luca ;

DAscenzo, Fabrizio ;

Imori, Yoichi ;

Wojakowski, Wojciech ;

Saglietto, Andrea ;

Figini, Filippo ;

Mattesini, Alessio ;

Trabattoni, Daniela ;

Rognoni, Andrea ;

Tomassini, Francesco ;

Bernardi, Alessandro ;

Ryan, Nicola ;

Muscoli, Saverio ;

Helft, Gerard ;

De Filippo, Ovidio ;

Parma, Radoslaw ;

De Luca, Leonardo ;

Ugo, Fabrizio ;

Cerrato, Enrico ;

Montefusco, Antonio ;

Pennacchi, Mauro ;

Wanha, Wojciech ;

Smolka, Grzegorz ;

de Lio, Giulia ;

Bruno, Francesco ;

Huczek, Zenon ;

Boccuzzi, Giacomo ;

Cortese, Bernardo ;

Capodanno, Davide ;

Omede, Pierluigi ;

Mancone, Massimo ;

Nunez-Gil, Ivan ;

Romeo, Francesco ;

Varbella, Ferdiando ;

Rinaldi, Mauro ;

Escaned, Javier ;

Conrotto, Federico ;

Burzotta, Francesco ;

Chieffo, Alaide ;

Perl, Leor ;

DAmico, Maurizio ;

di Mario, Carlo ;

Sheiban, Imad ;

Gagnor, Andrea ;

Giammaria, Massimo ;

De Ferrari, Gaetano Maria .

CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2020, 13 (03) :E008325

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