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Main Library
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Folly Beach Library
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Impact of stent deformity induced by the kissing balloon technique for bifurcating lesions on in-stent restenosis after coronary intervention.
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- Author(s): Gamou, Tadatsugu; Sakata, Kenji; Terai, Hidenobu; Horita, Yuki; Ikeda, Masatoshi; Namura, Masanobu; Yamagishi, Masakazu; Kawashiri, Masa‐aki; Kawashiri, Masa-Aki (AUTHOR)
- Source:
Journal of Interventional Cardiology. Aug2018, Vol. 31 Issue 4, p421-429. 9p. - Source:
- Additional Information
- Subject Terms: SURGICAL stents; CORONARY arteries; CORONARY restenosis; CARDIOLOGY; CARDIOVASCULAR diseases; CORONARY heart disease surgery; COMPLICATIONS of prosthesis; MYOCARDIAL revascularization; TIME; TRANSLUMINAL angioplasty; TREATMENT effectiveness; PROPORTIONAL hazards models; DRUG-eluting stents; CORONARY angiography; EQUIPMENT & supplies; DIAGNOSIS
- Subject Terms:
- Abstract:
Objectives: To investigate the impact of stent deformity induced by final kissing balloon technique (KBT) for coronary bifurcation lesions on in-stent restenosis (ISR).Background: In experimental models, the detrimental effects of KBT have been clearly demonstrated, but few data exists regarding the impact of proximal stent deformity induced by KBT on clinical outcomes.Methods: We examined 370 coronary lesions where intravascular ultrasound (IVUS)-guided second-generation drug-eluting stent (DES) implantation for coronary bifurcation lesions was performed. Based on IVUS analysis, the stent symmetry index (minimum/maximum stent diameter) and stent overstretch index (the mean of stent diameter/the mean of reference diameter) were calculated in the proximal main vessel.Results: The stent symmetry index was significantly lower (0.75 ± 0.07 vs 0.88 ± 0.06, P < 0.0001) and the stent overstretch index was significantly higher (1.04 ± 0.08 vs 1.01 ± 0.06, P = 0.0007) in lesions with KBT (n = 174) compared to those without KBT (n = 196). The number of two-stent technique in lesions with KBT was 31 (18%). In multivariate analysis, the degree of stent deformity indices was not associated with ISR in lesions with KBT; however, two-stent technique use was the only independent predictor of ISR at 8 months (hazard ratio: 3.96, 95% confidence interval: 1.25-12.5, P = 0.01).Conclusions: Second-generation DES deformity induced by KBT was not associated with mid-term ISR. [ABSTRACT FROM AUTHOR]
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