| Long-term Clinical outcomes with the use of a modified provisional Jailed-Balloon stenting technique for the treatment of non-left main coronary bifurcation lesions. | |
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MedLine Citation:
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PMID: 23420654 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: To assess the long-term clinical outcomes associated with treatment of non-left main coronary bifurcation lesions using a modified provisional jailed-balloon technique (JBT). Background: Percutaneous coronary intervention (PCI) of bifurcation lesions is associated with a higher risk of adverse events, including the risk of side branch (SB) loss during main branch (MB) stenting. Methods: From 4/2003 to 8/2010, 406 patients with 424 non-left main coronary bifurcation lesions underwent PCI with (n = 95) and without (n = 311) the use of JBT. Rates of SB loss and long term clinical outcomes (death, myocardial infarction [MI], and target lesion revascularization [TLR]) were compared between patients undergoing PCI with and without JBT using univariate and propensity score adjusted and matched analyses. Results: The majority of patients presented with acute coronary syndrome (63%) and 90% of lesions were Medina class 1,1,1. Patients were followed for a mean of 2.7 ± 2.1 years. After propensity score matching (n = 81 in each group), JBT was associated with a significantly lower composite rate of death, MI, or TLR (HR 0.22, 95% CI 0.06-0.76; p = 0.02) and TLR (HR 0.20, 95% 0.04-0.92; p = 0.04) compared with no JBT. Permanent SB loss was significantly lower in the JBT group compared with no JBT group (OR 0.22, 95% CI 0.10-0.49; p = 0.0001). Conclusions: The use of JBT for the treatment of non-left main coronary bifurcation lesions was associated with significantly lower rates of SB loss and major adverse cardiac events at late follow-up. © 2012 Wiley Periodicals, Inc. |
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Authors:
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Jeremiah P Depta; Yogesh Patel; Jayendrakumar S Patel; Eric Novak; Michael Yeung; Alan Zajarias; Howard I Kurz; John M Lasala; Richard G Bach; Jasvindar Singh |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-2-19 |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: - ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2013 Feb |
Date Detail:
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Created Date: 2013-2-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 Wiley Periodicals, Inc. |
Affiliation:
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Division of Cardiology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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