Intravascular ultrasound-guided systematic two-stent techniques for coronary bifurcation lesions and reduced late stent thrombosis
| Autor: | Nai-Liang Tian, Jun-Jie Zhang, Shang-Yu Wen, Fei Ye, Teguh Santoso, Tie-Ming Jiang, Tak W. Kwan, Zhi-Zhong Liu, Shao-Liang Chen, Yu-Jie Zhou |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Stent General Medicine Multicenter study Internal medicine Intravascular ultrasound Propensity score matching medicine Cardiology Radiology Nuclear Medicine and imaging Stent thrombosis Ultrasonography Cardiology and Cardiovascular Medicine Prospective cohort study business Coronary bifurcation |
| Zdroj: | Catheterization and Cardiovascular Interventions. 81:456-463 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.24601 |
| Popis: | sis. Compared to the angiography-guided group, the IVUS-guided group had a significantly lower overall unadjusted ST rate (1.2% vs. 6.9%, P < 0.001), definite ST (0.6% vs. 5.3%, P < 0.001), late ST (0.6% vs. 4.3%, P 5 0.003), MI (4.6% vs. 8.9%, P 5 0.038) and cardiac death (0.9% vs. 3.3%, P 5 0.049). By propensity score matching, 123 paired patients were matched. The late ST at 12-months follow-up was 0% in the IVUS-guided group versus 4.9% in the angiography-guided group (P 5 0.029), resulting in significant differences in ST-elevation MI between the two groups (2.4% vs. 9.8%, P 5 0.030). Conclusions: The IVUS-guided two-stent technique was associated with significantly reduced late stent thrombosis, with a resultant reduction in ST-elevation MI. V C 2012 Wiley |
| Databáze: | OpenAIRE |
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