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Impact of final kissing balloon and of imaging on patients treated on unprotected left main coronary artery with thin-strut stents (from the RAIN-CARDIOGROUP VII study)
- Publication Year :
- 2019
- Publisher :
- Elsevier Inc., 2019.
-
Abstract
- Few data are available about the impact on outcomes of procedural strategies for percutaneous coronary intervention with thin-struts stents on unprotected left main (ULM): 792 patients with an ULM stenosis treated with percutaneous coronary intervention with thin-strut stents were enrolled in the present multicenter registry. Target lesion revascularization (TLR) was the primary end point. MACE (a composite of all-cause death, myocardial infarction, TLR, and stent thrombosis) and its single components, along with target vessel revascularization were the secondary end points. Subgroup analyses were performed according to complex versus noncomplex bifurcation lesions. After 16 months, 5.5% of patients experienced a TLR. At multivariate analysis, provisional stenting (odds ratio [OR] 0.46: 0.85 to 0.23, p = 0.006), use of imaging (OR 0.45: 0.23 to 0.98, p = 0.003) and final kissing balloon (FKB) (OR 0.41: 0.83 to 0.21, p = 0.001) reduced risk of TLR. FKB reduced risk of overall TLR only for 2 stents-strategy (6.2% vs 32.4%, p
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Stent
Percutaneous Coronary Intervention
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Prosthesis Design
Balloon
03 medical and health sciences
0302 clinical medicine
Risk Factors
Angioplasty
Internal medicine
medicine
Humans
Prospective Studies
Registries
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Angioplasty, Balloon, Coronary
Aged
business.industry
Percutaneous coronary intervention
Drug-Eluting Stents
Odds ratio
equipment and supplies
medicine.disease
Coronary Vessels
Stenosis
Treatment Outcome
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Mace
Follow-Up Studies
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....97830af9121cbc152a56fdf60305211e