Immediate and one-year outcome in patients with coronary bifurcation lesions in the modern era (NHLBI dynamic registry)

Balloon angioplasty of bifurcation lesions has been associated with lower success and higher complication rates than most other lesion types. The development of alternative strategies such as debulking and stenting, either alone or in combination, are currently used relatively often. The relative ro...

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Bibliographic Details
Published in:The American journal of cardiology 2001-05, Vol.87 (10), p.1139-1144
Main Authors: Al Suwaidi, Jassim, Yeh, Wanlin, Cohen, Howard A, Detre, Katherine M, Williams, David O, Holmes, David R
Format: Article
Language:English
Subjects:
Aged
Angioplasty
Angioplasty, Balloon, Coronary - adverse effects
Atherectomy, Coronary - adverse effects
Biological and medical sciences
Cardiology. Vascular system
Coronary Angiography
Coronary Artery Bypass
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - mortality
Coronary Artery Disease - pathology
Coronary Artery Disease - therapy
Coronary heart disease
Coronary vessels
Coronary Vessels - pathology
Female
Heart
Humans
Male
Medical research
Medical sciences
Medical technology
Middle Aged
Multivariate Analysis
Odds Ratio
Outcome Assessment (Health Care)
Stents - adverse effects
Survival Rate
Treatment Outcome
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Summary:Balloon angioplasty of bifurcation lesions has been associated with lower success and higher complication rates than most other lesion types. The development of alternative strategies such as debulking and stenting, either alone or in combination, are currently used relatively often. The relative role of these newer approaches in improving acute or long-term outcome, however, remains uncertain. Of the total of 2,436 patients treated between July 1997 to February 1998 in the National Heart, Lung, and Blood Institute Dynamic Registry, there were 321 patients (group 1) with bifurcation lesions and 2,115 patients without any bifurcation lesions attempted (group 2). Treatment strategies in terms of major devices used were significantly different between the 2 groups (group 1 vs 2): balloon angioplasty alone (23.1% vs 26.5%), balloon angioplasty and rotational atherectomy (6.9% vs 4.4%), balloon angioplasty and stent (55.8% vs 59.9%), and balloon angioplasty, rotational atherectomy, and stent (10.3% vs 7%) with p
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(01)01482-5