Comparison of single‐ versus two‐stent techniques in treatment of unprotected left main coronary bifurcation disease

Abstract

Compared with the two-stent technique, the single-stent technique showed more favorable long-term clinical outcomes in patients with distal unprotected LMCA disease who received DES

Dedicated bifurcation stents or regular drug eluting stents in distal left main stenosis: A retrospective study

“…As it was proved earlier PTS strategy ensures the best angiographic and clinical outcomes in a majority of studies [14]. Moreover, Kim et al [7] as well as others showed that one-stent technique is better than 2-stent technique [15]. There was a relatively low rate of stent implantation in SB (16.7% of cases).…”

“…In general, based on non-randomized studies and extrapolations from the results of non-LM bifurcation trials, the provisional 1-stent approach has been considered a preferred strategy over the elective 2-stent technique for patients with LM bifurcation disease. In practice, however, 2-stent techniques are chosen more frequently for LM bifurcation than for non-LM lesions due to concerns regarding the ischemic myocardial volume, which would be jeopardized by adverse events [7].…”

Provisional T stenting following alternating rotational atherectomy for severely calcified left main stenosis in a very old male

“…We performed T-stenting with two everolimus-eluting stents. Although single stent technique showed more favorable long-term outcomes than two stents technique in treatment of LM disease [13], single stent technique is difficult, when there is a severe stenosis at the ostium of side brunch. As the stenosis at the ostium of LCX was very tight in our case, we adopted two stents technique.…”

Percutaneous panvascular intervention in an unusual case of extensive atherosclerotic disease

“…More aggressive statin therapy in CAD patients with high CRP levels is associated with a better clinical outcome [15,16] , and therefore the index case was put on atorvastatin 40 mg/d throughout his follow-up course. The single stent technique as performed in the index case for the left main coronary artery bifurcation lesion has shown more favorable long-term clinical outcomes in comparison with the two-stent technique [17] . Risk factors such as diabetes, raised creatinine of >1.5 mg/dL, anemia, congestive heart failure and left ventricular dysfunction, present in the index case, are associated with contrast-induced nephropathy and adverse clinical outcomes following contrast load [18] .…”