Long-Term Clinical Outcomes of Final Kissing Ballooning in Coronary Bifurcation Lesions Treated With the 1-Stent Technique: Results From the COBIS II Registry (Korean Coronary Bifurcation Stenting Registry).

JACC. Cardiovascular Interventions
Cheol Woong YuHyeon-Cheol Gwon

Abstract

This study investigated the impact of final kissing ballooning (FKB) after main vessel (MV) stenting on outcomes in patients with coronary bifurcation lesions after application of the 1-stent technique. Although FKB has been established as the standard method for bifurcation lesions treated with a 2-stent strategy, its efficacy in a 1-stent approach is highly controversial. This study enrolled 1,901 patients with a bifurcation lesion with a side branch diameter ≥2.3 mm, treated solely with the 1-stent technique using a drug-eluting stent from 18 centers in Korea between January 1, 2003 and December 31, 2009. The primary outcome was major adverse cardiac events (MACE)-cardiac death, myocardial infarction, or target lesion revascularization. Propensity score-matching analysis was also performed. FKB was performed in 620 patients and the post minimal lumen diameter of the MV and side branch was larger in the FKB group than in the non-FKB group. During follow-up (median 36 months), the incidence of MACE (adjusted hazard ratio [HR]: 0.68, 95% confidence interval [CI]: 0.46 to 0.99; p = 0.048) was lower in the FKB group than the non-FKB group. After propensity score matching (545 pairs), the FKB group had a lower incidence of MACE (a...Continue Reading

Associated Clinical Trials

References

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Citations

Mar 21, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shao-Liang Chen
May 26, 2018·Cardiology in Review·Tanveer Rab, Spencer B King
Nov 26, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Annapoorna S KiniGregg W Stone
Oct 4, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jia LiuShao-Liang Chen
Sep 8, 2020·Cardiovascular Intervention and Therapeutics·Kensuke TakagiYoshinobu Murasato
Nov 14, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Takayuki OkamuraJunya Shite
Apr 25, 2018·Cardiovascular Intervention and Therapeutics·Koji NishidaUNKNOWN AOI LMCA Stenting Registry Investigators
Jul 1, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Goran StankovicZlatko Mehmedbegovic
Feb 6, 2020·Archives of Cardiovascular Diseases·François DérimayGérard Finet
May 6, 2017·JACC. Cardiovascular Interventions·Tanveer RabShao Liang Chen
Jul 22, 2020·Revista Española De Cardiología·Jihoon KimHyeon-Cheol Gwon
Jul 14, 2020·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Yoshinobu MurasatoKiyotaka Iwasaki
Sep 24, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Emil Nielsen Holck, Lene Nyhus Andreasen
May 11, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Bernard ChevalierGoran Stankovic
Dec 7, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Alaide Chieffo, Alessandro Beneduce

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