Long-Term Outcome of Bifurcation Stenting With Drug-Eluting Stents
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作者:
Kanei, Yumiko
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Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USABeth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
Kanei, Yumiko
[1
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Nakra, Navin C.
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机构:
Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USABeth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
Nakra, Navin C.
[1
]
Huang, Yili
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Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USABeth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
Huang, Yili
[1
]
Fox, John T.
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Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USABeth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
Fox, John T.
[1
]
机构:
[1] Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
There are little long-term clinical data regarding the safety and efficacy of using 2 drug-eluting stents (DESs) to treat coronary bifurcation lesions. We obtained clinical follow-up for 124 consecutive patients who underwent bifurcation stenting with 2 DESs. Major adverse cardiac events (MACEs) were defined as cardiac death, acute myocardial infarction (AMI), and target vessel revascularization (TVR). Sixty-four (52%) patients underwent "crush," 42 (34%) patients underwent T stent, and 18 (14%) patients underwent kissing stent. Major adverse cardiac events were observed in 19 patients (17%) at 1 year: 6 (5%) AMI, 13 (12%) TVR, and no deaths, and 29 patients (26 %) at a mean follow-up of 22 months: 7 (6%) AMI, 21 (19%) TVR, and 1 (1%) death. No statistically significant risk factors for long-term MACEs were identified. It appears that treating bifurcation lesions with 2 DESs when necessary can be performed with an acceptable MACE rate.