Physiologic Assessment of Jailed Side Branch Lesions Using Fractional Flow Reserve

Koo, Bon‐Kwon; Kang, Hyun–Jae; Youn, Tae‐Jin; Chae, In‐Ho; Choi, Dong‐Joo; Kim, Hyo–Soo; Sohn, Dae‐Won; Oh, Byung‐Hee; Lee, Hae Young; Park, Young-Bae; Choi, Yun‐Shik; Tahk, Seung-Jae

doi:10.1016/j.jacc.2005.04.054

Cited by 302 publications

(172 citation statements)

References 26 publications

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“…Koo et al have suggested that among jailed SB with >75% stenosis, only 37% of lesions were functionally significant. 21 In the present study, treatment strategy of final kissing ballooning might be affected by suboptimal angiographic results. Final kissing ballooning in 1-stent group might increase the SB ostial injury in patients with functionally insignificant stenosis of SB.…”

Section: Predictors Of Mace and Tlrmentioning

confidence: 74%

Long-Term Clinical Results and Predictors of Adverse Outcomes After Drug-Eluting Stent Implantation for Bifurcation Lesions in a Real-World Practice - The COBIS (Coronary Bifurcation Stenting) Registry -

Gwon

Choi

Song

et al. 2010

Circ J

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Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp oronary bifurcation lesions are one of the most challenging lesion subsets and known to have a lower angiographic success rate and a higher risk of procedural complications with a greater restenosis rate than non-bifurcation lesions. 1-3 Therefore, coronary bifurcation lesions have been the subject of many studies; however, realworld practice patterns and long-term clinical outcomes have not been adequately addressed by previous studies. Most previous studies focused on either treatment strategies or techniques and were of a small to medium sample size with a follow-up period of 6-12 months in a randomized setting. 1,4,5 Although a few of these previous studies used real-world data sets, these studies were not based on registries dedicated to bifurcation lesions and had only a medium sample size that was inadequate to identify prognostic factors by multivariate analysis. 6,7 Therefore, we investigated long-term clinical results and predictors of adverse outcomes after percutaneous coronary intervention (PCI) with drug-eluting stents (DES) for coronary bifurcation lesions using data from a dedicated, large, multicenter real-world registry.

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Section: Predictors Of Mace and Tlrmentioning

confidence: 74%

Long-Term Clinical Results and Predictors of Adverse Outcomes After Drug-Eluting Stent Implantation for Bifurcation Lesions in a Real-World Practice - The COBIS (Coronary Bifurcation Stenting) Registry -

Gwon

Choi

Song

et al. 2010

Circ J

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“…Previous reports have shown that coronary ischemia of jailed SB was overestimated by angiography compared with the physiological assessment observed using fractional flow reserve. 28 RCTs of the 1-stent approach demonstrated that using FKB according to flow status of jailed SB (TIMI flow grade <3) produced similar clinical outcomes as that found using aggressive SB intervention. 8,9,29 In our real-world registry, the indication for FKB depended on the operator's discretion.…”

Section: Fkb Technique and The 1-stent Approachmentioning

confidence: 82%

Long-Term Clinical Outcome of a Single Stent Approach With and Without a Final Kissing Balloon Technique for Coronary Bifurcation

Yamawaki

Muramatsu

Kozuma

et al. 2014

Circ J

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110YAMAWAKI M et al. Circulation JournalOfficial Journal of the Japanese Circulation Society http://www. j-circ.or.jp oronary bifurcation has been regarded as one of the most challenging lesion subsets due to poor clinical outcomes compared with non-bifurcated lesions. 1 Provisional intervention of the side branch (SB) after main vessel (MV) stenting is now the standard approach for most bifurcations. 2,3 Although the final kissing balloon technique (FKB) has been established as the first-line strategy for bifurcations treated with an elective 2-stent approach, 4,5 its efficacy in a 1-stent approach is presently under debate. 6,7 Randomized trials showed no benefit of FKB in a 1-stent approach; 8,9 however, the long-term clinical outcome remains unclear as limited data is currently available. 6,10 The purpose of the present study is to: (1) investigate the long-term outcomes after a 1-stent approach with and without FKB; and (2) to ascertain the clinical outcome after cross-over stenting without FKB in comparison with non-bifurcation patients. MethodsThis study is a sub-analysis of the TAXUS Japan Postmarket Surveillance Study (TAXUS-PMS), which evaluated the safety and performance of a paclitaxel-eluting stent (PES; TAXUS

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“…21,22 In addition, most patients with bifurcation lesions did not require implantation of stents at both MV and SB, and most of angiographically significant SB lesions were demonstrated to be functionally insignificant in a fractional flow reserve study. 2,23 Therefore, unnecessary stenting at the SB might be avoided by meticulously evaluating bifurcation lesions with IVUS, even for true bifurcation. Furthermore, IVUS-guided optimal results after stent implantation including optimal stent expansion, adequate lesion coverage, and full stent apposition could reduce future adverse clinical events.…”

Section: Discussionmentioning

confidence: 99%

Impact of intravascular ultrasound guidance on long-term clinical outcomes in patients treated with drug-eluting stent for bifurcation lesions: Data from a Korean multicenter bifurcation registry

Kim

Hong

et al. 2011

American Heart Journal

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Physiologic Assessment of Jailed Side Branch Lesions Using Fractional Flow Reserve

Cited by 302 publications

References 26 publications

Long-Term Clinical Results and Predictors of Adverse Outcomes After Drug-Eluting Stent Implantation for Bifurcation Lesions in a Real-World Practice - The COBIS (Coronary Bifurcation Stenting) Registry -

Long-Term Clinical Results and Predictors of Adverse Outcomes After Drug-Eluting Stent Implantation for Bifurcation Lesions in a Real-World Practice - The COBIS (Coronary Bifurcation Stenting) Registry -

Long-Term Clinical Outcome of a Single Stent Approach With and Without a Final Kissing Balloon Technique for Coronary Bifurcation

Impact of intravascular ultrasound guidance on long-term clinical outcomes in patients treated with drug-eluting stent for bifurcation lesions: Data from a Korean multicenter bifurcation registry

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