1. Impact of Diabetes Mellitus on Intravascular Ultrasound-Guided Provisional Stenting in Coronary Bifurcation Lesions J-REVERSE Sub-Study
- Author
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Shinichiro Yamada, Kenichi Fujii, Masahiro Yamawaki, Yoshihisa Kinoshita, Yoshihiro Takeda, Hachidai Takahashi, Yoshihisa Shimada, Daisuke Terashita, Yoshinobu Murasato, and Toshiro Shinke
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,medicine.medical_treatment ,Stent ,030204 cardiovascular system & hematology ,medicine.disease ,Vessel diameter ,03 medical and health sciences ,0302 clinical medicine ,Main vessel ,Side branch ,Diabetes mellitus ,Internal medicine ,Intravascular ultrasound ,medicine ,Cardiology ,Radiology, Nuclear Medicine and imaging ,030212 general & internal medicine ,Radiology ,Thrombus ,Cardiology and Cardiovascular Medicine ,business ,Coronary bifurcation - Abstract
Objective To investigate the impact of diabetes mellitus (DM) on provisional coronary bifurcation stenting under the complete guidance of intravascular-ultrasound (IVUS). Background The efficacy of such intervention has not yet been fully elucidated in the DM patients. Methods A total of 100 DM and 139 non-DM patients in a prospective multi-center registry of IVUS-guided bifurcation stenting were compared in angiographic results at 9 months. Vessel and luminal changes during the intervention were analyzed using the IVUS. Vascular healing at the follow-up was also investigated in 23 lesions in each group using optical coherence tomography (OCT). Results No difference was detected regarding baseline reference vessel diameter and minimum lumen diameter in proximal main vessel (MV), distal MV, and side branch (SB). The rate of everolimus-eluting stent use (78.4% vs. 78.3%), final kissing inflation (60.1% vs. 49.0%), and conversion to 2-stent strategy (2.9% vs. 2.8%) were also similar. In the DM group, late loss was greater in proximal MV (DM 0.23 ± 0.29 vs. non-DM 0.16 ± 0.24 mm, P
- Published
- 2016