Author + information
- Ken Kurihara,
- Takashi Ashikaga,
- Youichi Ohtaki,
- Tatsuya Fujinami,
- Taro Sasaoka,
- Shunji Yoshikawa and
- Mitsuaki Isobe
Some study reports that the rate of major adverse cardiac events (MACE) rises when final kissing ballooning (FKB) was performed in the single stent strategy. However, the effects of FKB in everolimus-eluting stent (EES) implantation are still unclear.
To clarify the prognosis of patients who were implanted EES at bifurcation lesions.
The case of bifurcation lesions with single stent strategy was investigated by Tokyo-MD PCI study, a multicenter study including 22 institute around Kanto region. Rate of target lesion revascularization (TLR) and MACE (any cause death, myocardial infarction, TLR, stent thrombosis, and cerebral infarction) were analyzed.
184 bifurcation lesions treated by single EES were available. 49 lesions were treated with FKB (FKB group), and 135 were treated without FKB (none-FKB group). FKB group had significantly high rate of left main bifurcation lesions and low rate of left circumflex lesions. Other clinical characteristics were similar in both groups. Mean follow up term were 455±254 days. Cumulative incidence of TLR in main branch was 6.2% in FKB group and 6.3% in none-FKB group at 2 years follow up (p=1.0). Incidence of MACE was 8.5% in FKB group and 11.5% in none-FKB group (p=0.7).
FKB group has showed no inferior rate of TLR and MACE despite of high left main bifurcation rate when EES was implanted.
- 2013 American College of Cardiology Foundation