Article (Scientific journals)
Immediate and long-term clinical and angiographic results from Wiktor stent treatment for true bifurcation narrowings.
Anzuini, A.; Briguori, C.; Rosanio, S. et al.
2001In American Journal of Cardiology, 88 (11), p. 1246-50
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Keywords :
Angioplasty, Balloon, Coronary/adverse effects; Coronary Angiography; Coronary Restenosis; Coronary Stenosis/radiography/therapy; Coronary Vessels; Female; Humans; Male; Middle Aged; Prospective Studies; Stents/adverse effects
Abstract :
[en] From January 1996 to December 1998, 90 consecutive patients with true bifurcation lesions underwent percutaneous coronary angioplasty with Wiktor stent implantation in our centers. In 1 group (group I, n = 45), a simple approach (main vessel stenting and balloon angioplasty of the side branch) was pursued. In the other group (group II, n = 45), both the main vessel and the side branch were stented ("T" technique). There was no significant difference in clinical and angiographic characteristics between the 2 groups. Angiographic and procedural successes were 100% and 95.6%, respectively, in both groups. Angiographic results for the side branch were better in group II than in group I. In-hospital and long-term (12 month) major cardiac events were similar in the 2 groups. Target lesion revascularization was 15.5% in group I and 35.5% in group II (p = 0.12). In the main vessel, restenosis rate was 12.5% in group I and 25% in group II (p = 0.15). In the side branch, restenosis rate was 37.5% in group II and 12.5% in group I (p = <0.05; odds ratio 2.42; 95% confidence interval 1.05 to 6.26). Event-free probability at 12 months was 61% in group II and 80% in group I (p = 0.10). When dealing with true bifurcation lesions, a simple strategy is associated with a lower risk of restenosis in the side branch. In contrast, a complex approach does not appear to give any benefit in terms of early or long-term outcome or restenosis rate.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Anzuini, A.
Briguori, C.
Rosanio, S.
Tocchi, M.
Pagnotta, P.
Bonnier, H.
Gimelli, G.
Airoldi, F.
Margonato, A.
Legrand, Victor ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie
Colombo, A.
Language :
English
Title :
Immediate and long-term clinical and angiographic results from Wiktor stent treatment for true bifurcation narrowings.
Publication date :
2001
Journal title :
American Journal of Cardiology
ISSN :
0002-9149
eISSN :
1879-1913
Publisher :
Elsevier, New York, United States - New York
Volume :
88
Issue :
11
Pages :
1246-50
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 31 May 2014

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