Randomized Comparison of Conservative Versus Aggressive Strategy for Provisional Side Branch Intervention in Coronary Bifurcation Lesions
نویسندگان
چکیده
Methods In this prospective randomized trial, 258 patients with a coronary bifurcation lesion treated with drug-eluting stents were randomized to a conservative (n 128) or aggressive (n 130) SB intervention strategy. The criteria for SB intervention after main vessel stenting differed between the conservative and aggressive groups; Thrombolysis In Myocardial Infarction flow grade 3 versus diameter stenosis 75% for non–left main bifurcations and diameter stenosis 75% versus diameter stenosis 50% for left main bifurcations. The primary endpoint was target vessel failure (cardiac death, myocardial infarction, or target vessel revascularization) at 12 months.
منابع مشابه
Optimal Strategy for Provisional Side Branch Intervention in Coronary Bifurcation Lesions: 3-Year Outcomes of the SMART-STRATEGY Randomized Trial.
OBJECTIVES This study compared the long-term follow-up results of conservative versus aggressive strategies for provisional side branch (SB) intervention in coronary bifurcation lesions. BACKGROUND The appropriate criteria for provisional SB ballooning or stenting have not been established. METHODS A total of 258 patients with a large bifurcation lesion were randomized to a conservative or ...
متن کاملA randomized trial of a dedicated bifurcation stent versus provisional stenting in the treatment of coronary bifurcation lesions.
BACKGROUND Bifurcation lesions are frequent among patients with symptomatic coronary disease treated by percutaneous coronary intervention. Current evidence recommends a conservative (provisional) approach when treating the side branch (SB). OBJECTIVES The TRYTON (Prospective, Single Blind, Randomized Controlled Study to Evaluate the Safety & Effectiveness of the Tryton Side Branch Stent Used...
متن کاملRandomized trial on routine vs. provisional T-stenting in the treatment of de novo coronary bifurcation lesions
AIMS We investigated whether routine T-stenting reduces restenosis of the side branch as compared with provisional T-stenting in patients with de novo coronary bifurcation lesions. METHODS AND RESULTS Our randomized study assigned 101 patients with a coronary bifurcation lesion to routine T-stenting with sirolimus-eluting stents (SES) in both branches and 101 patients to provisional T-stentin...
متن کاملA randomised comparison of Conventional versus Intentional straTegy in patients with high Risk prEdiction of Side branch OccLusion in coronary bifurcation interVEntion: rationale and design of the CIT-RESOLVE trial
INTRODUCTION The intentional strategy (aggressive side branch (SB) protection strategy: elective two-stent strategy or jailed balloon technique) is thought to be associated with lower SB occlusion rate than conventional strategy (provisional two-stent strategy or jailed wire technique). However, most previous studies showed comparable outcomes between the two strategies, probably due to no risk...
متن کاملCan quality-of-life analysis aid in substantiating simple over complex strategies for bifurcation lesions?
The strategies for percutaneous coronary intervention involving major anatomic bifurcations have been the subject of long debate as to whether complex 2-stent techniques are required or should simple provisional stenting strategy suffice. However, the debate seems to have settled following results from several randomized trials and registry studies (1–4). Although there are no formal guidelines...
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تاریخ انتشار 2012