Impact of coronary bifurcation angle on stent malapposition in a randomized comparison between proximal optimization technique followed by side branch dilatation and kissing balloon inflation

Autor: Masahiro Yamawaki, Yoshinobu Murasato, Yusuke Watanabe, Yoshihisa Kinoshita, Munenori Okubo, Kazuhiko Yumoto, Naoki Masuda, Hiromasa Otake, Jiro Aoki, Gaku Nakazawa, Yohei Numasawa, Tatsuya Ito, Junya Shite, Takayuki Okamura, Kensuke Takagi, Kayoko Kozuma, Thierry Lefèvre, Bernard Chevalier, Yves Louvard, Nobuaki Suzuki, Ken Kozuma
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Cardiology: Heart & Vasculature, Vol 48, Iss , Pp 101265- (2023)
Druh dokumentu: article
ISSN: 2352-9067
DOI: 10.1016/j.ijcha.2023.101265
Popis: Background: The impact of coronary bifurcation angle (BA) on incomplete stent apposition (ISA) after crossover stenting followed by side branch (SB) intervention has not been established. Methods: A total of 100 crossover stentings randomly treated with proximal optimization technique followed by short balloon dilation in the SB (POT-SBD group, 48 patients) and final kissing balloon technique (KBT group, 52 patients) were analyzed in the PROPOT trial. Major ISA with maximum distance > 400 μm and its location was determined using optical coherence tomography before SB intervention and at the final procedure. The BA was defined as the angle between the distal main vessel and SB. Optimal POT was determined when the difference in stent volume index between the proximal and distal bifurcation was greater than the median value (0.86 mm3/mm) before SB intervention. Result: Major ISA was more frequently observed in the POT-SBD than in the KBT group (35% versus 17%, p
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