"Main Vessel-Oriented" Treatment Strategy Versus "Open Side Branch" Treatment Strategy in Acute Coronary Syndrome Patients With Culprit Bifurcation Lesions

被引：3

作者：

Tigen, Kursat ^{[1
]}

Dogan, Zekeriya ^{[1
]}

Sunbul, Murat ^{[1
]}

Gurel, Emre ^{[1
]}

Cincin, Altug ^{[1
]}

Kanar, Batur ^{[1
]}

Sayar, Nurten ^{[1
]}

Ozben, Beste ^{[1
]}

机构：

[1] Marmara Univ, Fac Med, Dept Cardiol, Istanbul, Turkiye

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2023年 / 204卷

关键词：

acute coronary syndromes; culprit bifurcation lesion; main vessel-oriented treatment strategy; side branch opening; LONG-TERM OUTCOMES; CLASSIFICATION; DISEASE;

D O I：

10.1016/j.amjcard.2023.07.132

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Percutaneous coronaryinterventionofbifurcationlesionsisassociatedwithanincreased risk ofcomplicationsinpatientswithacutecoronarysyndrome(ACS). Thestudyaimedto evaluate thein-hospitaloutcomesofpatientswithACSwithculpritbifurcationlesions who weretreatedwitheithera"mainvessel-oriented"(MVO) treatmentstrategyoran "open sidebranch"(OSB) treatmentstrategy. Thisretrospectivestudyincluded575consecutive patientswithACS."MVO" and"OSB" treatmentstrategiesweredefinedasprimary/urgent percutaneouscoronaryinterventionproceduresperformedbyeithertotally ignoring thesidebranch(SB) ortryingtomaintainbothmainvesselandSBopenwith thrombolysis inmyocardialinfarction3flow. Proceduralsuccessandmajorcardiac/cerebrovascular eventsduringhospitalizationwerenoted. MVOandOSBtreatmentstrategies were performedon384and191patients, respectively. Theproceduralsuccessratewas significantly higherintheOSBtreatmentstrategywhereasmajorcardiac/cerebrovascular events ratesweresimilarexceptforthecontrast-inducednephropathyratebeingslightly higher inOSBtreatmentstrategy. Subgroupanalysisrevealedasignificantlyhigherprocedural successrateinOSBtreatmentstrategyiftheSBwaslocatedwithinthebifurcation core, especiallyinthosewherethediameterofSBwas >= 2 mm. Inconclusion, ourresults suggest abetterproceduralresultwithSBprotectionattemptsinpatientswithACSwith a culpritbifurcationlesioniftheSBisoriginatingwithinthebifurcationcoreanditsdiameter is >= 2 mm. MVOtreatmentstrategymaybepreferredinmostcaseswithminorSBs located distanttothebifurcationcorebecauseofthesimilarproceduralsuccess. (c) 2023 Elsevier Inc. Allrightsreserved.(AmJCardiol2023;204:339-344)

引用

页码：339 / 344

页数：6

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