1. Impact of Percutaneous Coronary Revascularization of Severe Coronary Lesions on Secondary Branches
- Author
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Macarena Cano-García, Manuel F. Jiménez-Navarro, Carlos Sánchez-González, Mercedes Millán-Gómez, J M Hernandez-Garcia, Eduardo de Teresa-Galván, Cristóbal A. Urbano-Carrillo, J H Alonso-Briales, Fernando Carrasco-Chinchilla, Luz D. Muñoz-Jiménez, Manuel de Mora-Martín, Antonio J. Domínguez-Franco, Jesús M. Álvarez-Rubiera, Antonio J. Muñoz-García, and Juan A. Bullones-Ramírez
- Subjects
Male ,Acute coronary syndrome ,medicine.medical_specialty ,Percutaneous ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Coronary Angiography ,Revascularization ,Severity of Illness Index ,Lesion ,03 medical and health sciences ,Percutaneous Coronary Intervention ,0302 clinical medicine ,Diabetes mellitus ,Internal medicine ,medicine ,Humans ,Myocardial infarction ,Propensity Score ,Aged ,Retrospective Studies ,business.industry ,Coronary Stenosis ,General Medicine ,Middle Aged ,medicine.disease ,Coronary Vessels ,Treatment Outcome ,Conventional PCI ,Propensity score matching ,Cardiology ,Female ,medicine.symptom ,business ,Follow-Up Studies - Abstract
INTRODUCTION AND OBJECTIVES To analyze the percutaneous revascularization strategy for severe lesions in the secondary branches (SB) (diameter ≥ 2mm) of major epicardial arteries compared with conservative treatment. METHODS This study analyzed patients with severe SB lesions who underwent percutaneous revascularization treatment compared with patients who received pharmacological treatment. The study examined the percentage of branch-related events (cardiovascular death, myocardial infarction attributable to SB, or the need for revascularization of the SB). RESULTS We analyzed 679 SB lesions (662 patients). After a mean follow-up of 22.2±10.5 months, there were no significant differences between the 2 treatment groups regarding the percentage of death from cardiovascular causes (1.7% vs 0.4%; P=.14), nonfatal acute myocardial infarction (AMI) (1.7% vs 1.7%; P=.96), the need for SB revascularization (4.1% vs 5.4%; P=.45) or in the total percentage of events (5.1% vs 6.3%; P=.54). The variables showing an association with event occurrence on multivariate analysis were diabetes (SHR, 2.87; 95%CI, 1.37-5.47; P=.004), prior AMI (SHR, 3.54; 95%CI, 1.77-7.30; P
- Published
- 2019