Long-Term Results After Simple Versus Complex Stenting of Coronary Artery Bifurcation Lesions

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Author(s): Maeng, Michael; Holm, Niels Ramsing; Erglis, Andrejs; Kumsars, Indulis; Niemelä, Matti; Kervinen, Kari; Jensen, Jan S; Galløe, Anders; Steigen, Terje K; Wiseth, Rune; Narbute, Inga; Gunnes, Pål; Mannsverk, Jan; Meyerdierks, Oliver; Rotevatn, Svein; Nikus, Kjell; Vikman, Saila; Ravkilde, Jan; James, Stefan; Aarøe, Jens; Ylitalo, Antti; Helqvist, Steffen; Sjögren, Iwar; Thayssen, Per; Virtanen, Kari; Puhakka, Mikko; Airaksinen, Juhani; Christiansen, Evald Høj; Lassen, Jens Flensted; Thuesen, Leif; Group, Nordic-Baltic Percutaneous Coronary Intervention Study
Source:
Maeng, M, Holm, N R, Erglis, A, Kumsars, I, Niemelä, M, Kervinen, K, Jensen, J S, Galløe, A, Steigen, T K, Wiseth, R, Narbute, I, Gunnes, P, Mannsverk, J, Meyerdierks, O, Rotevatn, S, Nikus, K, Vikman, S, Ravkilde, J, James, S, Aarøe, J, Ylitalo, A, Helqvist, S, Sjögren, I, Thayssen, P, Virtanen, K, Puhakka, M, Airaksinen, J, Christiansen, E H, Lassen, J F, Thuesen, L & Nordic-Baltic Percutaneous Coronary Intervention Study Group 2013, ' Long-term results after simple versus complex stenting of coronary artery bifurcation lesions : nordic bifurcation study 5-year follow-up results ', Journal of the American College of Cardiology, vol. 62, no. 1, pp. 30-4 . https://doi.org/10.1016/j.jacc.2013.04.015
Maeng, M, Holm, N R, Erglis, A, Kumsars, I, Niemela, M, Kervinen, K, Jensen, J S, Galloe, A, Steigen, T K, Wiseth, R, Narbute, I, Gunnes, P, Mannsverk, J, Meyerdierks, O, Rotevatn, S, Nikus, K, Vikman, S, Ravkilde, J, James, S, Aaroe, J, Ylitalo, A, Helqvist, S, Sjogren, I, Thayssen, P, Virtanen, K, Puhakka, M, Airaksinen, J, Christiansen, E H, Lassen, J F, Thuesen, L & Nordic-Baltic, P 2013, ' Long-Term Results After Simple Versus Complex Stenting of Coronary Artery Bifurcation Lesions Nordic Bifurcation Study 5-Year Follow-Up Results ', Journal of the American College of Cardiology, vol. 62, no. 1, pp. 30-34 . https://doi.org/10.1016/j.jacc.2013.04.015
Maeng, M, Holm, N R, Erglis, A, Kumsars, I, Niemelä, M, Kervinen, K, Jensen, J S, Galløe, A M, Steigen, T K, Wiseth, R, Narbute, I, Gunnes, P, Mannsverk, J, Meyerdierks, O, Rotevatn, S, Nikus, K, Vikman, S, Ravkilde, J, James, S, Aarøe, J, Ylitalo, A, Helqvist, S, Sjögren, I, Thayssen, P, Virtanen, K, Puhakka, M, Airaksinen, J, Christiansen, E H, Lassen, J F & Thuesen, L 2013, ' Long-term Results after Simple versus Complex Stenting of Coronary Artery Bifurcation Lesions : Nordic Bifurcation Study 5-year Follow-up Results ', Journal of the American College of Cardiology, vol. 62, no. 1, pp. 30-34 . https://doi.org/10.1016/j.jacc.2013.04.015
Subject Terms:
Male; Time Factors; Finland/epidemiology; Denmark; Coronary Artery Disease; Coronary Restenosis; restenosis; 03 medical and health sciences; Percutaneous Coronary Intervention; 0302 clinical medicine; drug-eluting stent; Humans; bifurcation drug-eluting stent randomized restenosis stent thrombosis SIROLIMUS-ELUTING STENTS CLINICAL-OUTCOMES CULOTTE TECHNIQUE RANDOMIZED-TRIAL CRUSH TECHNIQUE IMMEDIATE; Finland; Latvia/epidemiology; Aged; stent thrombosis; Sweden; Norway; Drug-Eluting Stents; Middle Aged; Norway/epidemiology; Latvia; Denmark/epidemiology; 3. Good health; Sweden/epidemiology; Treatment Outcome; randomized; bifurcation; Female; Coronary Artery Disease/diagnosis; Percutaneous Coronary Intervention/instrumentation; Cardiology and Cardiovascular Medicine; Coronary Restenosis/diagnosis; Follow-Up Studies
Document Type:
Article
Online Access:
https://pubmed.ncbi.nlm.nih.gov/23644088
https://www.sciencedirect.com/science/article/pii/S0735109713017397
http://www.diva-portal.org/smash/record.jsf?pid=diva2:641136
https://vbn.aau.dk/files/79959852/1_s2.0_S0735109713017397_main.pdf
https://vbn.aau.dk/da/publications/long-term-results-after-simple-versus-complex-stenting-of-coronar
https://www.mendeley.com/catalogue/17cfdf7d-83b4-3f9a-ad12-3cfa3ccce794/
https://www.onlinejacc.org/content/62/1/30
https://portal.findresearcher.sdu.dk/da/publications/119047bd-5ad3-4ee4-b5fd-c6c3fc41abbb
https://pure.au.dk/portal/en/publications/df73a71a-326e-4998-bd73-c1f8f735ff80
https://doi.org/10.1016/j.jacc.2013.04.015

Additional Information
- Publication Information:
  Elsevier BV, 2013.
- Publication Date:
  2013
- Abstract:
  This study sought to report the 5-year follow-up results of the Nordic Bifurcation Study.Randomized clinical trials with short-term follow-up have indicated that coronary bifurcation lesions may be optimally treated using the optional side branch stenting strategy.A total of 413 patients with a coronary bifurcation lesion were randomly assigned to a simple stenting strategy of main vessel (MV) and optional stenting of side branch (SB) or to a complex stenting strategy, namely, stenting of both MV and SB.Five-year clinical follow-up data were available for 404 (98%) patients. The combined safety and efficacy endpoint of cardiac death, non-procedure-related myocardial infarction, and target vessel revascularization were seen in 15.8% in the optional SB stenting group as compared to 21.8% in the MV and SB stenting group (p = 0.15). All-cause death was seen in 5.9% versus 10.4% (p = 0.16) and non-procedure-related myocardial infarction in 4% versus 7.9% (p = 0.09) in the optional SB stenting group versus the MV and SB stenting group, respectively. The rates of target vessel revascularization were 13.4% versus 18.3% (p = 0.14) and the rates of definite stent thrombosis were 3% versus 1.5% (p = 0.31) in the optional SB stenting group versus the MV and SB stenting group, respectively.At 5-year follow-up in the Nordic Bifurcation Study, the clinical outcomes after simple optional side branch stenting remained at least equal to the more complex strategy of planned stenting of both the main vessel and the side branch.
- File Description:
  application/pdf
- ISSN:
  0735-1097
- Accession Number:
  10.1016/j.jacc.2013.04.015
- Rights:
  Elsevier Non-Commercial
- Accession Number:
  edsair.doi.dedup.....5ddd28e712786fa807e9da53e6d48827

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Long-Term Results After Simple Versus Complex Stenting of Coronary Artery Bifurcation Lesions

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