Conclusions: Treatment of uLMCA bifurcation lesions with DES is safe and effective. The overall cardiovascular disease burden represented by the syntax score has no prognostic impact on the local angiographic restenosis rate or TVR of the left main bifurcation itself after DES implantation.Background: Percutaneous coronary intervention (PCI) for left main (LM) trifurcation disease is a challenging field for interventional cardiologist. Triple kissing balloon technique (triple-KBT) is often necessary for PCI for LM trifurcation. However, there is no data available on clinical and angiographical outcomes of triple-KBT after drug-eluting stent (DES) implantation. Methods: We identified 58 patients (58 LM trifurcation) who had undergone PCI with triple-KBT after DES implatation, and investigated angiographical and clinical outcomes. Clinical outcomes were evaluated by all-cause death and target lesion revascularization (TLR). Follow-up angiography was performed at 8 months after index procedure. Results: The angiographical success rate was 100%, and in-hospital death and coronary artery bypass grafting were nothing. Procedural and angiographical follow-up data are shown in the table. Clinical follow-up were performed in all patients, and mean follow-up period was 690 ϩ/Ϫ 533 days. The incidence of all-cause death was 3.4%, and that of TLR was 12.1%. The incidence of TLR was higher in true trifurcation lesions than non-true trifurcation lesions (22.2% v.s. 3.2%, pϭ0.042). The incidence of TLR in the single stent strategy was 5.3%. Conclusions: DES implantaion with triple-KBT for LM trifurcation disease is the feasible technique, associated with favorable angiographical and clinical results. Especially, the single stent strategy with triple-KBT is acceptable.Angiographical characteristics at procedure and follow-up angiography
Background:Objective: To evaluate the impact of bifurcation characteristics on long-term clinical outcome after distal left main (LM) percutaneous coronary intervention (PCI) with a provisional side-branch (SB) stenting strategy. Background: Provisional SB stenting provides good results for patients with distal LM undergoing PCI. It is the preferred strategy in cases where a single ostium is involved (LAD or LCX). This strategy has never been specifically evaluated in more complex lesions involving the two side branches (medina 1.1.1). Methods: Methods: Individual data of patients with distal LM lesions included in the French Taxus, Friend, Lemax and large centers registries and treated with a provisional SB stenting strategy were analysed. Results: Results: A total of 454 patients were included, 199 (43.8%) with a 1.
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