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Article: Angiographic and long-term clinical outcome of the sleeve technique in treating in-stent restenotic bifurcation lesions: a preliminary experience

TitleAngiographic and long-term clinical outcome of the sleeve technique in treating in-stent restenotic bifurcation lesions: a preliminary experience
Authors
Issue Date2011
PublisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/14628848.asp
Citation
Acute Cardiac Care, 2011, v. 13 n. 3, p. 159-163 How to Cite?
AbstractBACKGROUND: No data has been published on the management of in-stent restenotic bifurcation lesions. The aim of this small case series was to examine the angiographic and long-term clinical outcomes of using sleeve technique to treat this lesion subset. METHODS: Six consecutive and symptomatic patients with MEDINA classification 1,1,1 in-stent restenotic bifurcation lesion were treated with drug-eluting stents using sleeve technique. Dual antiplatelet therapy was prescribed for an average of 13.5 +/- 2.3 months. RESULTS: Most of the lesions (87%) were located at LAD/diagonal branch bifurcation. Kissing balloon inflation was performed successfully in all the patients. Follow-up angiography at nine months revealed a late loss of 0.35 +/- 0.26 mm and 0.56 +/- 0.56 mm in MV and SB, respectively. Angiographic restenosis was developed in 2 patients (33%), which were all located at the SB ostium. No in-hospital MACE was observed. One-year MACE was 17%, attributed by 1 patient with restenosis who needed revascularization. The mean follow up period was 50 +/- 18 months, no stent thrombosis was detected. CONCLUSIONS: The use of sleeve technique to treat in-stent restenotic bifurcation lesions is associated with good acute procedural result, a fairly low one-year MACE and long-term clinical safety.
Persistent Identifierhttp://hdl.handle.net/10722/163394
ISSN
2015 SCImago Journal Rankings: 0.540
References

 

DC FieldValueLanguage
dc.contributor.authorJim, MHen_US
dc.contributor.authorHo, HHen_US
dc.contributor.authorYiu, KHen_US
dc.contributor.authorSiu, CWen_US
dc.contributor.authorChow, WHen_US
dc.date.accessioned2012-09-05T05:30:52Z-
dc.date.available2012-09-05T05:30:52Z-
dc.date.issued2011en_US
dc.identifier.citationAcute Cardiac Care, 2011, v. 13 n. 3, p. 159-163en_US
dc.identifier.issn1748-2941en_US
dc.identifier.urihttp://hdl.handle.net/10722/163394-
dc.description.abstractBACKGROUND: No data has been published on the management of in-stent restenotic bifurcation lesions. The aim of this small case series was to examine the angiographic and long-term clinical outcomes of using sleeve technique to treat this lesion subset. METHODS: Six consecutive and symptomatic patients with MEDINA classification 1,1,1 in-stent restenotic bifurcation lesion were treated with drug-eluting stents using sleeve technique. Dual antiplatelet therapy was prescribed for an average of 13.5 +/- 2.3 months. RESULTS: Most of the lesions (87%) were located at LAD/diagonal branch bifurcation. Kissing balloon inflation was performed successfully in all the patients. Follow-up angiography at nine months revealed a late loss of 0.35 +/- 0.26 mm and 0.56 +/- 0.56 mm in MV and SB, respectively. Angiographic restenosis was developed in 2 patients (33%), which were all located at the SB ostium. No in-hospital MACE was observed. One-year MACE was 17%, attributed by 1 patient with restenosis who needed revascularization. The mean follow up period was 50 +/- 18 months, no stent thrombosis was detected. CONCLUSIONS: The use of sleeve technique to treat in-stent restenotic bifurcation lesions is associated with good acute procedural result, a fairly low one-year MACE and long-term clinical safety.en_US
dc.languageengen_US
dc.publisherInforma Healthcare. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/14628848.aspen_US
dc.relation.ispartofAcute Cardiac Careen_US
dc.rightsAcute Cardiac Care. Copyright © Informa Healthcare.-
dc.subject.meshAngioplasty, Balloon, Coronaryen_US
dc.subject.meshCoronary Angiographyen_US
dc.subject.meshCoronary Restenosisen_US
dc.subject.meshCoronary Stenosis - pathology - radiography - therapyen_US
dc.subject.meshDrug-Eluting Stentsen_US
dc.titleAngiographic and long-term clinical outcome of the sleeve technique in treating in-stent restenotic bifurcation lesions: a preliminary experienceen_US
dc.typeArticleen_US
dc.identifier.emailJim, MH: jimmanh2002@yahoo.comen_US
dc.identifier.emailYiu, KH: khkyiu@hku.hken_US
dc.identifier.emailSiu, CW: cwdsiu@hkucc.hku.hk-
dc.identifier.authorityYiu, KH=rp01490en_US
dc.identifier.authoritySiu, CW=rp00534en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.3109/17482941.2011.606471en_US
dc.identifier.pmid21877875-
dc.identifier.scopuseid_2-s2.0-80052468135en_US
dc.identifier.hkuros208722-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052468135&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume13en_US
dc.identifier.issue3en_US
dc.identifier.spage159en_US
dc.identifier.epage163en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridChow, WH=7402281062en_US
dc.identifier.scopusauthoridSiu, CW=7006550690en_US
dc.identifier.scopusauthoridYiu, KH=35172267800en_US
dc.identifier.scopusauthoridHo, HH=7401465369en_US
dc.identifier.scopusauthoridJim, MH=6603860344en_US

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