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Effect of Wire Jailing at Side Branch in 1-Stent Strategy for Coronary Bifurcation Lesions

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dc.contributor.author김병극-
dc.contributor.author김중선-
dc.contributor.author안철민-
dc.contributor.author이승준-
dc.contributor.author장양수-
dc.contributor.author홍명기-
dc.contributor.author홍성진-
dc.contributor.author최연직-
dc.date.accessioned2022-05-09T17:06:21Z-
dc.date.available2022-05-09T17:06:21Z-
dc.date.issued2022-02-
dc.identifier.issn1936-8798-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188380-
dc.description.abstractObjectives: This study aimed to determine whether side branch (SB) wire jailing before main vessel (MV) stenting could prevent SB occlusion after the 1-stent strategy for bifurcation percutaneous coronary intervention. Background: The benefits of SB wire jailing in the 1-stent strategy remain unclear. Methods: From the COBIS (Coronary Bifurcation Stenting) III registry, 1,890 patients with bifurcation lesions who underwent the 1-stent strategy using second-generation drug-eluting stents were identified and classified into 2 groups according to the use of SB wire jailing: wire jailing (n = 819) and non-wire jailing (n = 1,071). The incidence of SB occlusion (Thrombolysis In Myocardial Infarction flow grade <3) and target lesion failure (cardiac death, myocardial infarction, or target lesion revascularization) was compared. Results: The incidence of final SB occlusion was not significantly different between wire jailing (1.8%) vs non-wire jailing (2.9%; P = 0.182). However, wire jailing at the SB was a significant protective factor for SB occlusion after MV stenting on multivariate analysis and was significantly associated with a lower incidence of SB occlusion in patients with significant stenoses (≥60%) at the SB (5.1% vs 11.3%; odds ratio: 0.42; 95% CI: 0.19-0.89; P = 0.028) or MV (3.1% vs 6.2%; odds ratio: 0.49; 95% CI: 0.24-0.95; P = 0.039). During follow-up (median 52 months), the incidence of target lesion failure was not significantly different between wire jailing and non-wire jailing (7.6% vs 6.3%; P = 0.343). Conclusions: During bifurcation percutaneous coronary intervention with the 1-stent strategy, wire jailing at the SB was associated with a lower rate of final SB occlusion following MV stenting in patients with severe stenoses at the SB or MV but not with overall bifurcation lesions. Long-term clinical outcomes were comparable between the 2 groups.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfJACC-CARDIOVASCULAR INTERVENTIONS-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHCoronary Angiography / adverse effects-
dc.subject.MESHCoronary Artery Disease* / complications-
dc.subject.MESHCoronary Artery Disease* / diagnostic imaging-
dc.subject.MESHCoronary Artery Disease* / therapy-
dc.subject.MESHDrug-Eluting Stents* / adverse effects-
dc.subject.MESHHumans-
dc.subject.MESHMyocardial Infarction* / etiology-
dc.subject.MESHPercutaneous Coronary Intervention* / adverse effects-
dc.subject.MESHStents / adverse effects-
dc.subject.MESHTreatment Outcome-
dc.titleEffect of Wire Jailing at Side Branch in 1-Stent Strategy for Coronary Bifurcation Lesions-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorYeon-Jik Choi-
dc.contributor.googleauthorSeung-Jun Lee-
dc.contributor.googleauthorByeong-Keuk Kim-
dc.contributor.googleauthorSung-Jin Hong-
dc.contributor.googleauthorChul-Min Ahn-
dc.contributor.googleauthorJung-Sun Kim-
dc.contributor.googleauthorHyeon-Cheol Gwon-
dc.contributor.googleauthorHyo-Soo Kim-
dc.contributor.googleauthorWoo Jung Chun-
dc.contributor.googleauthorSeung-Ho Hur-
dc.contributor.googleauthorChang-Wook Nam-
dc.contributor.googleauthorSeung Hwan Han-
dc.contributor.googleauthorSeung-Woon Rha-
dc.contributor.googleauthorIn-Ho Chae-
dc.contributor.googleauthorJin-Ok Jeong-
dc.contributor.googleauthorJung Ho Heo-
dc.contributor.googleauthorJunghan Yoon-
dc.contributor.googleauthorDo-Sun Lim-
dc.contributor.googleauthorJong-Seon Park-
dc.contributor.googleauthorKwang Soo Cha-
dc.contributor.googleauthorDoo-Il Kim-
dc.contributor.googleauthorSang Yeub Lee-
dc.contributor.googleauthorKiyuk Chang-
dc.contributor.googleauthorByung-Hee Hwang-
dc.contributor.googleauthorSo-Yeon Choi-
dc.contributor.googleauthorMyung Ho Jeong-
dc.contributor.googleauthorKi-Hong Choi-
dc.contributor.googleauthorYoung-Bin Song-
dc.contributor.googleauthorSoon-Jun Hong-
dc.contributor.googleauthorJoon-Hyung Doh-
dc.contributor.googleauthorBon-Kwon Koo-
dc.contributor.googleauthorMyeong-Ki Hong-
dc.contributor.googleauthorYangsoo Jang-
dc.identifier.doi10.1016/j.jcin.2021.11.012-
dc.contributor.localIdA00493-
dc.contributor.localIdA00961-
dc.contributor.localIdA02269-
dc.contributor.localIdA02927-
dc.contributor.localIdA03448-
dc.contributor.localIdA04391-
dc.contributor.localIdA04403-
dc.relation.journalcodeJ01193-
dc.identifier.eissn1876-7605-
dc.identifier.pmid35210051-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S1936879821020380-
dc.subject.keyworddrug-eluting stent(s)-
dc.subject.keywordmyocardial infarction-
dc.subject.keywordpercutaneous coronary intervention-
dc.contributor.alternativeNameKim, Byeong Keuk-
dc.contributor.affiliatedAuthor김병극-
dc.contributor.affiliatedAuthor김중선-
dc.contributor.affiliatedAuthor안철민-
dc.contributor.affiliatedAuthor이승준-
dc.contributor.affiliatedAuthor장양수-
dc.contributor.affiliatedAuthor홍명기-
dc.contributor.affiliatedAuthor홍성진-
dc.citation.volume15-
dc.citation.number4-
dc.citation.startPage443-
dc.citation.endPage455-
dc.identifier.bibliographicCitationJACC-CARDIOVASCULAR INTERVENTIONS, Vol.15(4) : 443-455, 2022-02-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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