Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent
BackgroundFinal kissing balloon inflation (FKBI) is a percutaneous coronary intervention (PCI) technique that is considered mandatory to improve outcomes in two-stent strategies, but its use in single-stent bifurcation PCI remains controversial.MethodsIn this retrospective cohort study, we identifie...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1290024/full |
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| author | Lefan He John F. Robb Pablo Martinez-Camblor Bruce W. Andrus Lily J. Greene Prajesh Gongal Dhruthi S. Reddy James T. DeVries |
| author_facet | Lefan He John F. Robb Pablo Martinez-Camblor Bruce W. Andrus Lily J. Greene Prajesh Gongal Dhruthi S. Reddy James T. DeVries |
| author_sort | Lefan He |
| collection | DOAJ |
| description | BackgroundFinal kissing balloon inflation (FKBI) is a percutaneous coronary intervention (PCI) technique that is considered mandatory to improve outcomes in two-stent strategies, but its use in single-stent bifurcation PCI remains controversial.MethodsIn this retrospective cohort study, we identified patients with coronary bifurcation lesions treated with one stent from January 2012 to March 2021 at a single academic medical center. Incidence rates per 1,000 patient-years (IR1000) were calculated for the outcomes of all-cause mortality, myocardial infarction (MI), stent thrombosis (ST), target lesion revascularization (TLR), coronary artery bypass graft (CABG), and cardiac readmission between patients who received FKBI and those who did not over a median follow up of 2.3 years. Studied outcomes were adjusted for all baseline clinical and procedural characteristics.ResultsThis study included 893 consecutive patients of which 256 received FKBI and 637 did not. The IR1000 for MI were 51.1 and 27.6 for patients who received FKBI and patients who did not, respectively (adjusted HR = 2.44, p = 0.001). The IR1000 for death were 31.2 and 52.3 for patients who received FKBI and patients who did not, respectively (adjusted HR = 0.68, p = 0.141). The incidence rates of ST, TLR, CABG, and cardiac readmissions were similar between patients who received FKBI and those who did not.ConclusionsThese results suggest that performing FKBI in a one-stent technique was associated with higher rates of myocardial infarction, particularly in the first 6 months, and no difference in death, ST, TLR, CABG, and cardiac readmission rates. |
| first_indexed | 2024-03-09T10:48:44Z |
| format | Article |
| id | doaj.art-cd3b35cf59f149f8ad0118a3e9aaeb08 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-09T10:48:44Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-cd3b35cf59f149f8ad0118a3e9aaeb082023-12-01T09:37:01ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-11-011010.3389/fcvm.2023.12900241290024Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stentLefan He0John F. Robb1Pablo Martinez-Camblor2Bruce W. Andrus3Lily J. Greene4Prajesh Gongal5Dhruthi S. Reddy6James T. DeVries7Department of Cardiology, University of Rochester Medical Center, Rochester, NY, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesHomer Stryker School of Medicine, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, MI, United StatesHeart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United StatesBackgroundFinal kissing balloon inflation (FKBI) is a percutaneous coronary intervention (PCI) technique that is considered mandatory to improve outcomes in two-stent strategies, but its use in single-stent bifurcation PCI remains controversial.MethodsIn this retrospective cohort study, we identified patients with coronary bifurcation lesions treated with one stent from January 2012 to March 2021 at a single academic medical center. Incidence rates per 1,000 patient-years (IR1000) were calculated for the outcomes of all-cause mortality, myocardial infarction (MI), stent thrombosis (ST), target lesion revascularization (TLR), coronary artery bypass graft (CABG), and cardiac readmission between patients who received FKBI and those who did not over a median follow up of 2.3 years. Studied outcomes were adjusted for all baseline clinical and procedural characteristics.ResultsThis study included 893 consecutive patients of which 256 received FKBI and 637 did not. The IR1000 for MI were 51.1 and 27.6 for patients who received FKBI and patients who did not, respectively (adjusted HR = 2.44, p = 0.001). The IR1000 for death were 31.2 and 52.3 for patients who received FKBI and patients who did not, respectively (adjusted HR = 0.68, p = 0.141). The incidence rates of ST, TLR, CABG, and cardiac readmissions were similar between patients who received FKBI and those who did not.ConclusionsThese results suggest that performing FKBI in a one-stent technique was associated with higher rates of myocardial infarction, particularly in the first 6 months, and no difference in death, ST, TLR, CABG, and cardiac readmission rates.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1290024/fullPCIbifurcationcoronarystentinflation |
| spellingShingle | Lefan He John F. Robb Pablo Martinez-Camblor Bruce W. Andrus Lily J. Greene Prajesh Gongal Dhruthi S. Reddy James T. DeVries Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent Frontiers in Cardiovascular Medicine PCI bifurcation coronary stent inflation |
| title | Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| title_full | Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| title_fullStr | Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| title_full_unstemmed | Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| title_short | Longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| title_sort | longitudinal outcomes of final kissing balloon inflation in coronary bifurcation lesions treated with a single stent |
| topic | PCI bifurcation coronary stent inflation |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1290024/full |
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