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논문번호 300
논문제목(영문) Effect of Stenting Strategy on the Outcome in Patients with Non-Left Main Bifurcation Lesions.
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 공저자
주저자명 Lim Y, Kim MC
교신저자명 Ahn Y
공동저자명 Sim DS, Hong YJ, Kim JH, Jeong MH, Gwon HC, Kim HS, Rha SW, Yoon JH, Jang Y, Tahk SJ, Seung KB
게제년월일 2022-10-01
ISSN 2077-0383
Impact Factor 3.9
학술지명 J Clin Med
서지사항 0집 / 11권 / 19호,   페이지(5658 - 5658)
요약초록문
(Abstract) 입력		 Previous studies have not compared outcomes between different percutaneous coronary intervention (PCI) strategies and lesion locations in non-left main (LM) bifurcation lesions. We enrolled 2044 patients from a multicenter registry with an LAD bifurcation lesion (n = 1551) or non-LAD bifurcation lesion (n = 493). The primary outcome was target lesion failure (TLF), a composite of cardiac death, myocardial infarction, and target lesion revascularization (TLR). During a median follow-up period of 38 months, non-LAD bifurcation lesions treated with the two-stent strategy, compared with the one-stent strategy, were associated with more frequent TLF (20.7% vs. 6.3%, p < 0.01), TLR (16.7% vs. 4.7%, p < 0.01), and target vessel revascularization (TVR; 18.2% vs. 6.3%, p < 0.01). There was no significant difference in outcome among LAD bifurcation lesions treated with different PCI strategies. The two-stent strategy was associated with a higher risk of TLF (adjusted HR 4.34, CI 1.93−9.76, p < 0.01), TLR (adjusted HR 4.30, CI 1.64−11.27, p < 0.01), and TVR (adjusted HR 5.07, CI 1.69−9.74, p < 0.01) in the non-LAD bifurcation lesions. The planned one-stent strategy is preferable to the two-stent strategy for the treatment of non-LAD bifurcation lesions.
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