Search: onr:"swepub:oai:DiVA.org:uu-24891" >
Randomized study on...
Randomized study on simple versus complex stenting of coronary artery bifurcation lesions : the Nordic bifurcation study
-
Steigen, Terje K. (author)
-
Maeng, Michael (author)
-
Wiseth, Rune (author)
-
show more...
-
Erglis, Andrejs (author)
-
Kumsars, Indulis (author)
-
Narbute, Inga (author)
-
Gunnes, Pål (author)
-
Mannsverk, Jan (author)
-
Meyerdierks, Oliver (author)
-
Rotevatn, Svein (author)
-
Niemelä, Matti (author)
-
Kervinen, Kari (author)
-
Jensen, Jan S. (author)
-
Gallöe, Anders (author)
-
Nikus, Kjell (author)
-
Vikman, Saila (author)
-
Ravkilde, Jan (author)
-
- James, Stefan, 1964- (author)
- Uppsala universitet,Institutionen för medicinska vetenskaper,UCR
-
Aaröe, Jens (author)
-
Ylitalo, Antti (author)
-
Helqvist, Steffen (author)
-
Sjögren, Iwar (author)
-
Thayssen, Per (author)
-
Virtanen, Kari (author)
-
Puhakka, Mikko (author)
-
Airaksinen, Juhani (author)
-
Lassen, Jens F. (author)
-
Thuesen, Leif (author)
-
show less...
-
(creator_code:org_t)
- 2006
- 2006
- English.
-
In: Circulation. - 0009-7322 .- 1524-4539. ; 114:18, s. 1955-1961
- Related links:
-
https://urn.kb.se/re...
-
show more...
-
https://doi.org/10.1...
-
show less...
Abstract
Subject headings
Close
- Background - The optimal stenting strategy in coronary artery bifurcation lesions is unknown. In the present study, a strategy of stenting both the main vessel and the side branch ( MV + SB) was compared with a strategy of stenting the main vessel only, with optional stenting of the side branch ( MV), with sirolimus-eluting stents. Methods and Results - A total of 413 patients with a bifurcation lesion were randomized. The primary end point was a major adverse cardiac event: cardiac death, myocardial infarction, target-vessel revascularization, or stent thrombosis after 6 months. At 6 months, there were no significant differences in rates of major adverse cardiac events between the groups ( MV + SB 3.4%, MV 2.9%; P = NS). In the MV + SB group, there were significantly longer procedure and fluoroscopy times, higher contrast volumes, and higher rates of procedure-related increases in biomarkers of myocardial injury. A total of 307 patients had a quantitative coronary assessment at the index procedure and after 8 months. The combined angiographic end point of diameter stenosis > 50% of main vessel and occlusion of the side branch after 8 months was found in 5.3% in the MV group and 5.1% in the MV + SB group ( P = NS). Conclusions - Independent of stenting strategy, excellent clinical and angiographic results were obtained with percutaneous treatment of de novo coronary artery bifurcation lesions with sirolimus-eluting stents. The simple stenting strategy used in the MV group was associated with reduced procedure and fluoroscopy times and lower rates of procedure-related biomarker elevation. Therefore, this strategy can be recommended as the routine bifurcation stenting technique.
Keyword
- stents
- angioplasty
- angiography
- restenosis
- bifurcation
- follow-up studies
- stenosis
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
To the university's database
- By the author/editor
-
Steigen, Terje K ...
-
Maeng, Michael
-
Wiseth, Rune
-
Erglis, Andrejs
-
Kumsars, Indulis
-
Narbute, Inga
-
show more...
-
Gunnes, Pål
-
Mannsverk, Jan
-
Meyerdierks, Oli ...
-
Rotevatn, Svein
-
Niemelä, Matti
-
Kervinen, Kari
-
Jensen, Jan S.
-
Gallöe, Anders
-
Nikus, Kjell
-
Vikman, Saila
-
Ravkilde, Jan
-
James, Stefan, 1 ...
-
Aaröe, Jens
-
Ylitalo, Antti
-
Helqvist, Steffe ...
-
Sjögren, Iwar
-
Thayssen, Per
-
Virtanen, Kari
-
Puhakka, Mikko
-
Airaksinen, Juha ...
-
Lassen, Jens F.
-
Thuesen, Leif
-
show less...
- Articles in the publication
-
Circulation
- By the university
-
Uppsala University