Treatment Of Coronary Bifurcation Lesions: Stentcovering Of The Side Branch With And Without PCI Of The Side Branch: A Retrospective Analysis Of All Consecutive Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Coronary Bifurcation Lesions
- Sponsor
- Krankenhaus Hetzelstift
- Enrollment
- 98
- Locations
- 1
- Primary Endpoint
- Major adverse cardiac outcome
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
This retrospective observational study included patients (pts) with percutaneous coronary intervention (PCI) of a de novo coronary bifurcation lesion in one German center between January 2008 - August 2011. The investigators included all consecutive patients where the side branch was covered with a stent. Patients with ACS/cardiogenic shock were not excluded.
Two different methods were compared: group A represents patients with a simple strategy without any treatment of the side branch (SB). Group B consisted of patients where the SB was treated (PCI and/or stenting).
For the treatment of bifurcation lesions we used the concept of "provisional stenting", indications for the treatment of the SB were residual stenosis > 50 %, TIMI flow reduction < 2. Final-kissing PCI was intended in all patients of group B.
MACE during follow-up was evaluated in all patients.
Investigators
Hubertus von Korn, MD
Head of the Department
Krankenhaus Hetzelstift
Eligibility Criteria
Inclusion Criteria
- •All consecutive patients with a bifurcation lesion, where the side branch was covered with a stent placed inside the main branch.
Exclusion Criteria
- •Patients with an in-stent-restenosis, patients with a therapy using a drug coated balloon during the procedure (inside the main branch and/or the side branch) and patients where the side branch was not covered by the stent inside the main branch.
Outcomes
Primary Outcomes
Major adverse cardiac outcome
Time Frame: 12 months