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Long-term clinical outcomes after kissing balloon inflation in patients with coronary bifurcation lesions treated with provisional stenting technique. Results from the real-world multicenter registry

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Заглавие Long-term clinical outcomes after kissing balloon inflation in patients with coronary bifurcation lesions treated with provisional stenting technique. Results from the real-world multicenter registry
 
Автор Khelimskii, D.
Bessonov, I.
Kashtanov, M.
Sapozhnikov, S.
Badoian, A.
Baranov, A.
Manukyan, S.
Utegenov, R.
Krestyaninov, O.
 
Тематика CORONARY BIFURCATION
KISSING-DILATATION
LEFT MAIN
PERCUTANEOUS CORONARY INTERVENTIONS
PROVISIONAL STENTING
ADULT
CALCIFICATION
CARDIOVASCULAR MORTALITY
CLINICAL OUTCOME
COHORT ANALYSIS
CONFOUNDING VARIABLE
CONTROLLED STUDY
CORONARY ARTERY DISEASE
CORONARY BIFURCATION LESION
DILATATION
EDITORIAL
FEMALE
FOLLOW UP
HEART INFARCTION
HUMAN
KISSING STENTING
MAJOR ADVERSE CARDIAC EVENT
MAJOR CLINICAL STUDY
MALE
MIDDLE AGED
MULTICENTER STUDY
OBSERVATIONAL STUDY
OUTCOME ASSESSMENT
PERCUTANEOUS CORONARY INTERVENTION
PREVALENCE
PROPENSITY SCORE
TARGET LESION REVASCULARIZATION
THROMBOSIS
 
Описание Objective: There is a lack of data regarding the long-term clinical efficacy of the kissing balloon inflation (KBI) after provisional stenting of coronary bifurcation lesions. The aim of this study was to analyze the impact of KBI on long-term clinical outcomes in patients undergoing provisional stenting for the coronary bifurcation lesions in a large real-world population. Methods: A total of 873 patients who underwent percutaneous coronary interventions (PCI) with provisional stenting and had clinical follow up were analyzed. Patients treated with 2-stent strategy were excluded. To reduce the effect of potential confounding factors in this observational study, propensity score matching was conducted. Results: KBI was performed in 325 patients (37.2%). The median follow-up duration was 37.3 months. Patients treated with KBI more often had a previous PCI (48.6% vs. 42.5% SMD = 0.123). Patients in non-kissing group had more complex coronary disease with higher prevalence of calcification (14.8% vs. 21.4% SMD = 0.172), thrombosis (2.8% vs. 5.8% SMD = 0.152) and longer side branch lesions (8.3% vs. 11.7% SMD = 0.113). There were no significant differences in the major adverse cardiac events including death, myocardial infarction, target lesion revascularization after KBI versus no KBI (15.4% vs. 15.7%, p = 0.28), in total cohort or in matched patients (17.1% vs. 15.8%, adjusted HR 1.01, 95% CI: 0.65–1.65, p = 0.95). The lack of effect of KBI on clinical outcomes was consistent across various subgroups including left main disease. Conclusion: In this multicenter real-world registry, KBI did not improve long-term clinical outcomes in patients with coronary bifurcation lesions treated with provisional stenting technique. © 2023 Cardiological Society of India
Study data were collected and managed using Research Electronic Data Capture (REDCap) electronic data capture tools. REDCap is a secure, web-based application designed to support data capture for research studies, providing: (1) an intuitive interface for validated data entry; (2) audit trails for tracking data manipulation and export procedures; (3) automated export procedures for seamless data downloads to common statistical packages; and (4) procedures for importing data from external sources.
 
Дата 2024-04-05T16:22:20Z
2024-04-05T16:22:20Z
2023
 
Тип Editorial
Published version (info:eu-repo/semantics/publishedVersion)
 
Идентификатор Khelimskii, D, Bessonov, I, Kashtanov, M, Sapozhnikov, S, Badoian, A, Baranov, A, Manukyan, S, Utegenov, R & Krestyaninov, O 2023, 'Long-term clinical outcomes after kissing balloon inflation in patients with coronary bifurcation lesions treated with provisional stenting technique. Results from the real-world multicenter registry', Indian Heart Journal, Том. 75, № 5, стр. 313-320. https://doi.org/10.1016/j.ihj.2023.05.003
Khelimskii, D., Bessonov, I., Kashtanov, M., Sapozhnikov, S., Badoian, A., Baranov, A., Manukyan, S., Utegenov, R., & Krestyaninov, O. (2023). Long-term clinical outcomes after kissing balloon inflation in patients with coronary bifurcation lesions treated with provisional stenting technique. Results from the real-world multicenter registry. Indian Heart Journal, 75(5), 313-320. https://doi.org/10.1016/j.ihj.2023.05.003
0019-4832
Final
All Open Access, Gold, Green
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85159659761&doi=10.1016%2fj.ihj.2023.05.003&partnerID=40&md5=d9543d73386d7f48adc11dcb755728de
https://doi.org/10.1016/j.ihj.2023.05.003
http://elar.urfu.ru/handle/10995/130488
10.1016/j.ihj.2023.05.003
85159659761
001092897700001
 
Язык en
 
Права Open access (info:eu-repo/semantics/openAccess)
cc-by-nc-nd
https://creativecommons.org/licenses/by-nc-nd/4.0/
 
Формат application/pdf
 
Издатель Elsevier B.V.
 
Источник Indian Heart Journal
Indian Heart Journal