Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions
Aim. To analyze the results of different tactics of single-stent endovascular treatment among patients with coronary heart disease (CHD) and coronary artery bifurcation lesions (CABL). Material and methods. The study included 135 CHD patients with CABL. All participants were divided into 2 groups: G...
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| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2012-04-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1772 |
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| author | Z. Kh. Shugushev Yu. V. Tarichko Yu. A. Vasyuk |
| author_facet | Z. Kh. Shugushev Yu. V. Tarichko Yu. A. Vasyuk |
| author_sort | Z. Kh. Shugushev |
| collection | DOAJ |
| description | Aim. To analyze the results of different tactics of single-stent endovascular treatment among patients with coronary heart disease (CHD) and coronary artery bifurcation lesions (CABL). Material and methods. The study included 135 CHD patients with CABL. All participants were divided into 2 groups: Group I (n=77; 58,3 %) consisted of patients who underwent coronary artery (CA) main branch (MB) stenting and subsequent kissing balloon angioplasty of a CA side branch (SB). Group II (n=55) included patients with “genuine” CABL, who underwent only MB stenting with SB protection, but without SB balloon angioplasty. Results. In all 132 CABL patients, drug-eluting stents were successfully implanted, with technical effectiveness of 100 % and in-hospital survival of 100 %. Clinical outcomes were similar in both groups, with no major cardiovascular events registered. At the same time, such an important angiographic index as SB diameter was significantly higher in Group I, compared to Group II. At later stages, Group II patients required SB angioplasty and demonstrated habitual angina symptoms, ischemic electrocardiographic (ECG) changes, and slow SB blood flow (TIMI grade <III) after CA MB stenting. Conclusion. MB stenting of CA bifurcation without SB kissing balloon angioplasty cannot be recommended to all CABL patients. Development of habitual angina symptoms, ischemic ECG changes, and slow SB blood flow (TIMI grade <III) often requires subsequent SB kissing balloon angioplasty. |
| format | Article |
| id | doaj-art-b55a98c1c22443e388d6a9cf7e9ea2e6 |
| institution | Matheson Library |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2012-04-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-b55a98c1c22443e388d6a9cf7e9ea2e62025-08-04T12:50:17Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252012-04-01112394310.15829/1728-8800-2012-2-39-431487Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesionsZ. Kh. Shugushev0Yu. V. Tarichko1Yu. A. Vasyuk2N.A. Semashko Central Clinical Hospital No. 2, Russian RailwaysRussian University of People’s FriendshipMoscow State MedicoStomatological University, MoscowAim. To analyze the results of different tactics of single-stent endovascular treatment among patients with coronary heart disease (CHD) and coronary artery bifurcation lesions (CABL). Material and methods. The study included 135 CHD patients with CABL. All participants were divided into 2 groups: Group I (n=77; 58,3 %) consisted of patients who underwent coronary artery (CA) main branch (MB) stenting and subsequent kissing balloon angioplasty of a CA side branch (SB). Group II (n=55) included patients with “genuine” CABL, who underwent only MB stenting with SB protection, but without SB balloon angioplasty. Results. In all 132 CABL patients, drug-eluting stents were successfully implanted, with technical effectiveness of 100 % and in-hospital survival of 100 %. Clinical outcomes were similar in both groups, with no major cardiovascular events registered. At the same time, such an important angiographic index as SB diameter was significantly higher in Group I, compared to Group II. At later stages, Group II patients required SB angioplasty and demonstrated habitual angina symptoms, ischemic electrocardiographic (ECG) changes, and slow SB blood flow (TIMI grade <III) after CA MB stenting. Conclusion. MB stenting of CA bifurcation without SB kissing balloon angioplasty cannot be recommended to all CABL patients. Development of habitual angina symptoms, ischemic ECG changes, and slow SB blood flow (TIMI grade <III) often requires subsequent SB kissing balloon angioplasty.https://cardiovascular.elpub.ru/jour/article/view/1772coronary heart diseaseprovisional t-stentingendovascular treatment tactics |
| spellingShingle | Z. Kh. Shugushev Yu. V. Tarichko Yu. A. Vasyuk Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions Кардиоваскулярная терапия и профилактика coronary heart disease provisional t-stenting endovascular treatment tactics |
| title | Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| title_full | Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| title_fullStr | Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| title_full_unstemmed | Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| title_short | Different tactics of single-stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| title_sort | different tactics of single stent endovascular treatment among coronary heart disease patients with coronary artery bifurcation lesions |
| topic | coronary heart disease provisional t-stenting endovascular treatment tactics |
| url | https://cardiovascular.elpub.ru/jour/article/view/1772 |
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