[논문]Culotte versus T-stenting in bifurcation lesions: Immediate clinical and angiographic results and midterm clinical follow-up

doi:10.1016/j.ahj.2007.04.019

[해외논문] Culotte versus T-stenting in bifurcation lesions: Immediate clinical and angiographic results and midterm clinical follow-up

The American heart journal, v.154 no.2, 2007년, pp.336 - 343

Kaplan, Sahin (Royal Brompton Hospital, London, United Kingdom) , Barlis, Peter (Royal Brompton Hospital, London, United Kingdom) , Dimopoulos, Konstantinos (Royal Brompton Hospital, London, United Kingdom) , La Manna, Alessio (Royal Brompton Hospital, London, United Kingdom) , Goktekin, Omer (Royal Brompton Hospital, London, United Kingdom) , Galassi, Alfredo (Royal Brompton Hospital, London, United Kingdom) , Tanigawa, Jun (Royal Brompton Hospital, London, United Kingdom) , Di Mario, Carlo (Reprint requests: Carlo Di Mario, MD, PhD, FRCP, FESC, FACC, FSCAI, Royal Brompton Hospital, Sydney Street, London, SW3 6NP, UK.)

Abstract ▼ AI-Helper

BackgroundStenting the main vessel with provisional stenting of the side branch (SB) is the method of choice for most bifurcation lesions. There is limited data on which of the two techniques of bifurcation stenting compatible with a provisional approach, culotte or T-stenting, offers the best outcome.MethodsBetween February 2004 and October 2005, 80 consecutive patients with bifurcation lesions requiring a second stent on the SB were treated with either culotte (n = 45) or T-stenting (n = 35). Coronary angiograms were analyzed using a quantitative angiography system dedicated to bifurcations. Propensity scores were used to adjust for baseline differences between groups.ResultsAcute procedural success was 100% for both groups. Residual diameter stenosis of the SB ostium was 3.44% ± 7.39% in the culotte group versus 12.55% ± 11.47% in the T-stenting group (P < .0001). One patient (2.2%) in the culotte group had subacute thrombosis 2 days after the procedure. The culotte group had a lower target lesion revascularization rate compared with the T-stenting group (8.9% vs 27.3% propensity score adjusted; P = .014) and a trend toward lower major cardiac adverse events at 9 months (13.3% vs 27.3%; P = .051).ConclusionBoth techniques of provisional SB stenting in bifurcation lesions achieve high procedural success with low complication rates. The culotte technique yields a better immediate angiographic result at the SB ostium, and, using drug-eluting stents, a better clinical outcome at 9 months.

참고문헌 (19)

Circulation Colombo 109 1244 2004 10.1161/01.CIR.0000118474.71662.E3 Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions

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Catheter Cardiovasc Interv Di Mario 69 416 2007 10.1002/ccd.20951 Predictors of restenosis after treatment of bifurcational lesions with paclitaxel eluting stents: a multicenter prospective registry of 150 consecutive patients

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Circulation Steigen 114 1955 2006 10.1161/CIRCULATIONAHA.106.664920 Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: the NORDIC Bifurcation study

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Rev Esp Cardiol Medina 59 183 2006 10.1157/13084649 A new classification of coronary bifurcation lesions

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Cathet Cardiovasc Diagn Teirstein 37 307 1996 10.1002/(SICI)1097-0304(199603)37:3<307::AID-CCD20>3.0.CO;2-D Kissing Palmaz-Schatz stents for coronary bifurcation stenoses

상세보기
J Interv Cardiol Lefevre 14 573 2001 10.1111/j.1540-8183.2001.tb00375.x Stenting of bifurcation lesions: a rational approach

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Am J Cardiol Chevalier 82 943 1998 10.1016/S0002-9149(98)00510-4 Placement of coronary stents in bifurcation lesions by the “culotte” technique

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Catheter Cardiovasc Interv Goktekin 69 172 2007 10.1002/ccd.20946 A new quantitative analysis system for the evaluation of coronary bifurcation lesions: comparison with current conventional methods

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Am J Epidemiol Cepeda 158 280 2003 10.1093/aje/kwg115 Comparison of logistic regression versus propensity score when the number of events is low and there are multiple confounders

상세보기
Am Heart J Kereiakes 140 603 2000 10.1067/mhj.2000.109647 Abciximab provides cost-effective survival advantage in high-volume interventional practice

상세보기
Obenchain
Davison 1997 Bootstrap methods and their application
J Interv Cardiol Barlis 19 510 2006 10.1111/j.1540-8183.2006.00203.x Complex coronary interventions: unprotected left main and bifurcation lesions

상세보기
Catheter Cardiovasc Interv Ormiston 67 49 2006 10.1002/ccd.20453 Drug-eluting stents for coronary bifurcations: bench testing of provisional side-branch strategies

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Am J Cardiol Tanabe 94 115 2004 10.1016/j.amjcard.2004.03.040 Restenosis rates following bifurcation stenting with sirolimus-eluting stents for de novo narrowings

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J Am Coll Cardiol Ge 46 613 2005 10.1016/j.jacc.2005.05.032 Clinical and angiographic outcome after implantation of drug-eluting stents in bifurcation lesions with the crush stent technique: importance of final kissing balloon post-dilation

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Int J Cardiovasc Intervent Hoye 7 36 2005 10.1080/14628840510011225 Percutaneous therapy of bifurcation lesions with drug-eluting stent implantation: the Culotte technique revisited

상세보기
Catheter Cardiovasc Interv Lefevre 49 274 2000 10.1002/(SICI)1522-726X(200003)49:3<274::AID-CCD11>3.0.CO;2-N Stenting of bifurcation lesions: classification, treatments, and results

상세보기
Am Heart J Dzavik 152 762 2006 10.1016/j.ahj.2006.04.033 Predictors of long-term outcome after crush stenting of coronary bifurcation lesions: importance of the bifurcation angle

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DOI : 10.1016/j.ahj.2007.04.019
Elsevier : 저널 > 논문

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