Comparative Short-Term Outcomes of Double-Kissing Culotte and Culotte Techniques in Acute Coronary Syndrome from the Lower Silesia Culotte Bifurcation Registry
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Le résumé fourni par la source
Background/Objectives: The double-kissing (DK) culotte technique is a modification of the culotte technique that employs initial kissing balloon inflation after first stent implantation. The DK culotte technique may improve strut apposition and procedural outcomes; however, data on its efficacy and safety remain limited. This study aimed to investigate the short-term outcomes of bifurcation percutaneous coronary intervention (PCI) using the DK culotte technique compared with those of the culotte technique in patients with acute coronary syndrome (ACS). Methods: This two-center, observational, retrospective study included patients with ACS. Out of 12,132 screened patients, 117 and 122 underwent DK culotte and culotte PCIs, respectively, with 117 and 57 patients remaining after propensity score matching. The primary endpoint was 1-year target lesion failure (TLF), which included cardiovascular death, target vessel myocardial infarction or clinically indicated target lesion revascularization (TLR). Secondary endpoints included major adverse cardiac events (MACEs) comprising myocardial infarction, cardiac death, and TLR; contrast medium amount (mL); and cumulative radiation dose (mGy). Results: At 1 year, TLF occurred in 7% and 12% of the DK culotte and culotte groups, respectively (p = 0.17). No significant differences were observed in MACEs between the groups (13% DK culotte vs. 19% culotte; p = 0.12). Additionally, the DK culotte technique did not cause higher contrast medium usage or cumulative radiation dosage. Conclusions: No statistically significant differences were found in TLF and MACE reduction between ACS patients treated with the DK culotte technique and the culotte technique. The observed trend favoring the DK culotte needs further validation in prospective studies.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Comparative Short-Term Outcomes of Double-Kissing Culotte and Culotte Techniques in Acute Coronary Syndrome from the Lower Silesia Culotte Bifurcation Registry
- Date Crossref
- 04/12/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Witelon State University of Applied Sciences in Legnica pays non établi dans la noticeUniversité ou école supérieure
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Wrocław University of Science and Technology pays non établi dans la noticeUniversité ou école supérieure
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AGH University of Krakow pays non établi dans la noticeUniversité ou école supérieure
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Poznan University of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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Provincial Specialized Hospital Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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The Copper Health Centre (MCZ) Department of Cardiology pays non établi dans la noticeÉtablissement de santé
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Faculty of Medicine Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Independent Researcher pays non établi dans la noticeInstitution
Witelon State University of Applied Sciences in Legnica, Wrocław University of Science and Technology et AGH University of Krakow, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.