계명대학교 의학도서관 Repository

Effect of Wire Jailing at Side Branch in 1-Stent Strategy for Coronary BifurcationLesions

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Author(s)
Yeon-Jik ChoiSeung-Jun LeeByeong-Keuk KimSung-Jin HongChul-Min AhnJung-Sun KimHyeon-Cheol GwonHyo-Soo KimWoo Jung ChunSeung-Ho HurChang-Wook NamSeung Hwan HanSeung-Woon RhaIn-Ho ChaeJin-Ok JeongJung Ho HeoJunghan YoonDo-Sun LimJong-Seon ParkKwang Soo ChaDoo-Il KimSang Yeub LeeKiyuk ChangByung-Hee HwangSo-Yeon ChoiMyung Ho JeongKi-Hong ChoiYoung-Bin SongSoon-Jun HongJoon-Hyung DohBon-Kwon KooMyeong-Ki HongYangsoo Jang
Keimyung Author(s)
Hur, Seung HoNam, Chang Wook
Department
Dept. of Internal Medicine (내과학)
Journal Title
JACC Cardiovasc Interv
Issued Date
2022
Volume
15
Issue
4
Keyword
drug-eluting stent(s)myocardial infarctionpercutaneous coronary intervention
Abstract
Objectives:
This study aimed to determine whether side branch (SB) wire jailing before main vessel (MV) stenting could prevent SB occlusion after the 1-stent strategy for bifurcation percutaneous coronary intervention.

Background:
The benefits of SB wire jailing in the 1-stent strategy remain unclear.

Methods:
From the COBIS (Coronary Bifurcation Stenting) III registry, 1,890 patients with bifurcation lesions who underwent the 1-stent strategy using second-generation drug-eluting stents were identified and classified into 2 groups according to the use of SB wire jailing: wire jailing (n = 819) and non–wire jailing (n = 1,071). The incidence of SB occlusion (Thrombolysis In Myocardial Infarction flow grade <3) and target lesion failure (cardiac death, myocardial infarction, or target lesion revascularization) was compared.

Results:
The incidence of final SB occlusion was not significantly different between wire jailing (1.8%) vs non–wire jailing (2.9%; P = 0.182). However, wire jailing at the SB was a significant protective factor for SB occlusion after MV stenting on multivariate analysis and was significantly associated with a lower incidence of SB occlusion in patients with significant stenoses (≥60%) at the SB (5.1% vs 11.3%; odds ratio: 0.42; 95% CI: 0.19-0.89; P = 0.028) or MV (3.1% vs 6.2%; odds ratio: 0.49; 95% CI: 0.24-0.95; P = 0.039). During follow-up (median 52 months), the incidence of target lesion failure was not significantly different between wire jailing and non–wire jailing (7.6% vs 6.3%; P = 0.343).

Conclusions:
During bifurcation percutaneous coronary intervention with the 1-stent strategy, wire jailing at the SB was associated with a lower rate of final SB occlusion following MV stenting in patients with severe stenoses at the SB or MV but not with overall bifurcation lesions. Long-term clinical outcomes were comparable between the 2 groups.
Keimyung Author(s)(Kor)
허승호
남창욱
Publisher
School of Medicine (의과대학)
Citation
Yeon-Jik Choi et al. (2022). Effect of Wire Jailing at Side Branch in 1-Stent Strategy for Coronary BifurcationLesions. JACC Cardiovasc Interv, 15(4), 443–455. doi: 10.1016/j.jcin.2021.11.012
Type
Article
ISSN
1936-8798
Source
https://www.sciencedirect.com/science/article/pii/S1936879821020380
DOI
10.1016/j.jcin.2021.11.012
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44199
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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