Percutaneous Coronary Intervention for Left Main Coronary Artery Bifurcation Lesions: Two-stent versus one-stent Strategy for Comparison of 6-month MACE

Nasir, Mubarra; Shafique, Hafiz Muhammad; Hussain, Sajjad; Tuyyab, Farhan; Aziz, Sohail; Khadim, Rehana

doi:10.29271/jcpsp.2020.09.894

Cited by 5 publications

(10 citation statements)

References 2 publications

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“…Nine were added through reviewing the relevant references. Finally, 21 studies were enrolled [ 5 , 6 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]. Nineteen studies had data on MACE [ 5 , 6 , 9 , 10 , 11 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 23 , 24 , 25 , 26 , 27 ], 18 had data on MI [ 5 , 6 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ], 17 had data on TLR [ 5 , 6 , 9 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ,…”

Section: Resultsmentioning

confidence: 99%

“…The general characteristics of the studies are listed in Table 1 (Ref. [ 5 , 6 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]). Detailed information regarding the patients and procedures are listed in Table 2 (Ref.…”

Section: Resultsmentioning

confidence: 99%

“…Detailed information regarding the patients and procedures are listed in Table 2 (Ref. [ 5 , 6 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]).…”

Section: Resultsmentioning

confidence: 99%

“…All 19 studies were considered to have a low risk of bias (Table 3 , Ref. [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]).…”

Section: Resultsmentioning

confidence: 99%

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Stepwise Provisional versus Planned Double Stenting Strategies in Treating Unprotected Left Main Distal Bifurcation Lesions: A Systematic Review and Meta-Analysis Comprising 11,672 Patients

Li,

Liu,

Gao

et al. 2023

Rev. Cardiovasc. Med.

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Background: Provisional stenting is the preferred strategy for non-left main bifurcation lesions. However, its superiority over planned double stenting for unprotected left main distal bifurcation (UPLMB) lesions remains unclear. Previous studies have reported conflicting results. Methods: Randomised controlled trials (RCTs) and observational studies comparing the outcomes of provisional stenting to planned double stenting for UPLMB lesions were identified. The primary endpoint was major adverse cardiac events (MACE). The secondary endpoints were myocardial infarction (MI), target vessel revascularisation (TVR), target lesion revascularisation (TLR), all-cause death, cardiac death and stent thrombosis (ST). Aggregated odds ratios (OR) and 95% confidence intervals were calculated. A sensitivity analysis was conducted if was 50% or p 0.01. Publication bias analysis was considered if more than 10 studies were enrolled. Results: Two RCTs and 19 observational studies comprising 11,672 patients were enrolled. Provisional stenting had a significantly lower incidence of MACE, mainly driven by TLR and TVR. Double stenting had a significantly lower incidence of cardiac death. In addition, patients undergoing provisional stenting had a lower tendency towards the occurrence of MI, while patients undergoing double stenting had a lower tendency towards all-cause death and ST. Conclusions: A provisional stenting strategy was associated with lower MACE, TVR and TLR but higher cardiac death. Further investigation is needed through RCTs to assess which strategy performs better.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…All 19 studies were considered to have a low risk of bias (Table 3 , Ref. [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ]).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Stepwise Provisional versus Planned Double Stenting Strategies in Treating Unprotected Left Main Distal Bifurcation Lesions: A Systematic Review and Meta-Analysis Comprising 11,672 Patients

Li,

Liu,

Gao

et al. 2023

Rev. Cardiovasc. Med.

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“…Atherosclerotic cardiovascular disease is the leading cause of death worldwide, but advancements in percutaneous coronary intervention (PCI) and pharmacological treatments have led to a decrease in early and late death rates in coronary artery disease (CAD). 1 , 2 While invasive coronary angiography is the standard method for detecting CAD, coronary computed tomography angiography (CTA) is increasingly being used as a diagnostic tool to determine the severity of coronary artery occlusion without intervention and to visualize plaque in the coronary arteries. The European Society of Cardiology’s 2019 chronic coronary syndrome (CCS) guidelines recommend using CTA rather than invasive methods for diagnosis in patients with a low clinical probability of CAD.…”

Section: Introductionmentioning

confidence: 99%

The relationship between degree of coronary artery stenosis detected by coronary computed tomography angiography and ACEF risk score in patients with chronic coronary syndrome

Kış

Yurdam²

2023

Ann Saudi Med

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BACKGROUND: The ACEF risk score (age, creatinine, and ejection fraction) has been associated with satisfactory predictive values not only for short-term and long-term mortality but also for major adverse cardiovascular events. OBJECTIVES: Investigate the relationship between ACEF risk score and degree of coronary artery stenosis. DESIGN: Retrospective, observational study. SETTING: Tertiary percutaneous coronary intervention center. PATIENTS AND METHODS: In patients with coronary coronary artery stenosis <70% were compared with patients with stenosis ≥70%. All were diagnosed with chronic coronary syndrome (CCS) and had undergone coronary computed tomography angiography (CTA). Receiver operating characteristic analysis was performed for the cut-off value of the ACEF risk score. Univariable and multivariable regression analyses were performed for significant parameters related to degree of coronary artery stenosis in coronary CTA. MAIN OUTCOME MEASURES: Relationship between ACEF risk score and degree of coronary artery stenosis in coronary CTA. SAMPLE SIZE: 148 patients. RESULTS: In the multivariable regression analysis; left ventricular ejection fraction (OR: 0.94; 95%CI: 0.89-0.99, P =.015) and ACEF risk score (OR: 5.63; 95% CI: 1.62-19.57, P =.007) were independent predictors for degree of coronary artery stenosis. The ACEF risk score was statistically significantly higher in with patients with stenosis ≥70% (1.43 [0.59]) than in patients with stenosis <70% (0.98 [0.35]), P <.001). An ACEF risk score value >1.04 was a predictor of the presence of severe coronary artery stenosis detected by coronary CTA in patients with CCS, with 66% sensitivity and 69% specificity. CONCLUSIONS: A high ACEF risk score (age, creatinine, ejection fraction) in patients with CCS is associated with the presence of severe coronary artery stenosis detected by coronary CTA, and was useful as an assessment tool for coronary angiography in patients with CCS. LIMITATIONS: Since we do not have long-term follow-up results, we do not know the prognostic value of the ACEF risk score in the long-term follow-up of patients with CCS. CONFLICT OF INTEREST: None.

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Clinical Application and Research Progress of Different Interventional Treatment Methods for Coronary Bifurcation Lesions

温

2024

ACM

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Percutaneous Coronary Intervention for Left Main Coronary Artery Bifurcation Lesions: Two-stent versus one-stent Strategy for Comparison of 6-month MACE

Abstract: Objective: To assess the short term clinical outcomes for a single-stent (SS) strategy versus a double-stent (DS) strategy in percutaneous coronary intervention (PCI) of distal unprotected left main coronary artery (ULMCA) lesions. Study Design: Descriptive comparative study.

Cited by 5 publications

References 2 publications

Stepwise Provisional versus Planned Double Stenting Strategies in Treating Unprotected Left Main Distal Bifurcation Lesions: A Systematic Review and Meta-Analysis Comprising 11,672 Patients

Stepwise Provisional versus Planned Double Stenting Strategies in Treating Unprotected Left Main Distal Bifurcation Lesions: A Systematic Review and Meta-Analysis Comprising 11,672 Patients

The relationship between degree of coronary artery stenosis detected by coronary computed tomography angiography and ACEF risk score in patients with chronic coronary syndrome

Clinical Application and Research Progress of Different Interventional Treatment Methods for Coronary Bifurcation Lesions

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