| Long-term clinical and angiographic outcomes of the sleeve technique on non-left-main coronary bifurcation lesions. | |
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MedLine Citation:
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PMID: 19577990 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: The purpose of this study was to examine the long-term results of the sleeve technique, which is a modification of the crush technique and capable of increasing the success of final kissing balloon inflation (FKB) in the treatment of non-left-main coronary bifurcation lesions. METHODS AND RESULTS: Forty-five patients with 45 non-left-main coronary bifurcation stenoses were treated with drug-eluting stents (DES) using the sleeve technique and prospectively evaluated. Follow-up angiography was performed on 41 patients (91%) at nine months. The mean age of patient was 65 years with predominance of male (73%); FKB was successfully performed in all patients. Post-procedure myocardial infarction was observed in four patients, leading to an in-hospital major adverse cardiac event (MACE) rate of 9%. At angiographic follow-up, the late loss in the main vessel and side-branch was 0.18+/-0.26 mm and 0.29+/-0.27 mm, respectively. Binary angiographic restenosis was seen in two patients (4.7%) at main vessel and one patient (2.4%) at side-branch. At 1-year follow-up, there were two non-cardiac deaths and three patients needed revascularisation. CONCLUSIONS: The use of the sleeve technique and DES in the treatment of non-left-main coronary bifurcation lesions is associated with a low angiographic restenosis, particularly at side branch ostium, and long-term safety. |
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Authors:
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Man-Hong Jim; Hee-Hwa Ho; Ryan-Lap-Yan Ko; Chung-Wah Siu; Kai-Hang Yiu; Wing-Hing Chow |
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: 5 ISSN: 1774-024X ISO Abbreviation: - Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-07-06 Completed Date: 2009-07-24 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: 104-8 Citation Subset: IM |
Affiliation:
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Cardiac Medical Unit, Grantham Hospital, Hong Kong, Hong Kong. jimmanh2002@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / adverse effects, instrumentation, methods* Coronary Angiography* Coronary Restenosis / etiology, prevention & control, radiography* Coronary Stenosis / radiography, therapy* Drug-Eluting Stents Female Hong Kong Humans Male Middle Aged Myocardial Infarction / etiology Prospective Studies Registries Severity of Illness Index Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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