| Provisional TAP-stenting strategy to treat bifurcated lesions with drug-eluting stents: one-year clinical results of a prospective registry. | |
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MedLine Citation:
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PMID: 19805841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the clinical outcome of unselected patients undergoing drug-eluting stent (DES) implantation on bifurcated lesions using a "provisional T And small Protrusion (TAP)" stenting strategy. METHODS: Consecutive patients undergoing DES implantation on one major bifurcation lesion were treated by main-vessel (MV) stenting, followed (if needed) by side-branch (SB) rewiring (with a "pullback" technique) and kissing balloon. SB stenting was performed according to the TAP-technique in selected cases. The endpoint of the study was a 12-month incidence of major adverse cardiac events (MACE) defined as cardiac death, myocardial infarction (MI), stent thrombosis and target vessel revascularization (TVR). RESULTS: The study population included 266 patients (9% unprotected left main). Only 19 patients (7.1%) (with more complex angiographic features) received stents in both the MV and SB using the TAP-technique. Overall, 22 (8.2%) patients had MACE at 1 year. Observed, non-hierarchical MACE were: 1 (0.4%) cardiac death, 11 (4.1%) MI, 2 probable stent thromboses and 12 (4.5%) TVRs. Postprocedural troponin T increase and adverse events up to 12 months were similar between patients treated by MV stenting only or double stenting. CONCLUSIONS: In unselected patients undergoing DES implantation on bifurcated lesions, a provisional TAP-stenting strategy (with a low rate of SB stenting) appears to be safe and effective. |
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Authors:
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Francesco Burzotta; Gregory Angelo Sgueglia; Carlo Trani; Giovanni Paolo Talarico; Santiago Federico Coroleu; Simona Giubilato; Giampaolo Niccoli; Maura Giammarinaro; Italo Porto; Antonio Maria Leone; Rocco Mongiardo; Mario Attilio Mazzari; Giovanni Schiavoni; Filippo Crea |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 21 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-10-06 Completed Date: 2010-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 532-7 Citation Subset: IM |
Affiliation:
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Institute of Cardiology, Catholic University of the Sacred Heart, Via Prati Fiscali 158, 00141 Rome, Italy. f.burzotta@rm.unicatt.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / instrumentation*, methods* Coronary Artery Disease / classification*, therapy* Drug-Eluting Stents* / adverse effects Female Follow-Up Studies Humans Incidence Male Middle Aged Multivariate Analysis Myocardial Infarction / epidemiology Prospective Studies Registries Retrospective Studies Thrombosis / epidemiology Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Invasive Cardiol. 2009 Oct;21(10):538
[PMID:
19805842
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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