| Impact of bifurcation lesions on clinical outcome and prognosis of primary angioplasty in acute myocardial infarction. | |
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MedLine Citation:
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PMID: 19112785 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: The aim of this study was to determine the impact of bifurcation lesions on outcomes after primary percutaneous intervention (PCI) for acute myocardial infarction. METHODS AND RESULTS: We retrospectively reviewed a single-centre database of 646 patients admitted for primary angioplasty within 12 hours after AMI. We compared baseline characteristics and outcomes between bifurcation and non-bifurcation lesions. Bifurcation lesions were found in 23% of patients. They predominantly involved the left anterior descending artery. Provisional T-stenting was used in 89.3% of patients (with stenting of the main branch in 82% and of both branches in 7.3%), side-branch protection in 54.6%, and final kissing balloon inflation in 33%. The procedural success rate was 92% for the main branch of bifurcation lesions compared with 93% for non-bifurcation lesions (P=0.65). Major adverse cardiac event (MACE) rates were comparable in the two groups: in-hospital MACE was 13.3% in the bifurcation group versus 11.4% in the non-bifurcation group (P=0.72), and the 1-year total MACE rate was 22.6% in the bifurcation group versus 19.5% in the non-bifurcation group (P=0.56). CONCLUSIONS: Bifurcation lesions are common in patients with AMI. In a population with AMI, immediate and mid-term outcomes of primary PCI were similar in patients with and without bifurcation lesions. |
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Authors:
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Diaa-Eldin Abdel-Hakim; Philippe Garot; Stéphane Champagne; Fathi Maklady; Ahmed el-Hawary; Jean-Luc Dubois-Randé; Pierre-François Lesault; Emmanuel Teiger |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology Volume: 4 ISSN: 1774-024X ISO Abbreviation: - Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-12-30 Completed Date: 2009-02-04 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101251040 Medline TA: EuroIntervention Country: France |
Other Details:
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Languages: eng Pagination: 93-8 Citation Subset: IM |
Affiliation:
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University Hospital Henri Mondor, Créteil, France. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary* Coronary Angiography Coronary Artery Disease / pathology, radiography, therapy Coronary Vessels / pathology* Databases, Factual Female Follow-Up Studies Humans Male Middle Aged Myocardial Infarction / pathology*, radiography, therapy* Prognosis Retrospective Studies Treatment Outcome |
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