Long-Term Outcome of Bifurcation Stenting With Drug-Eluting Stents

被引:0
|
作者
Kanei, Yumiko [1 ]
Nakra, Navin C. [1 ]
Huang, Yili [1 ]
Fox, John T. [1 ]
机构
[1] Beth Israel Deaconess Med Ctr, Dept Med, Div Cardiol, Cardiac Catheterizat Lab, New York, NY 10003 USA
关键词
drug-eluting stent; bifurcation; complex intervention; CRUSH TECHNIQUE; LESIONS;
D O I
10.1177/0003319710369098
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
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.
引用
收藏
页码:633 / 637
页数:5
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