Comparison of 3‐year clinical outcomes between classic crush and modified mini‐crush technique in coronary bifurcation lesions. Issue 3 (3rd December 2012)

• Record Type: Journal Article
• Authors: Yang, Hyoung‐Mo; Tahk, Seung‐Jea; Choi, So‐Yeon; Yoon, Myeong‐Ho; Lim, Hong‐Seok; Choi, Byoung‐Joo; Woo, Seong‐Ill; Joe, Dai‐Yeol; Seo, Kyoung‐Woo; Jin, Xiong Jie; Kim, Jin‐Woo; Hwang, Gyo‐Seung; Shin, Joon‐Han
• Is Part Of: Catheterization and cardiovascular interventions. Volume 82:Issue 3(2013:Sep. 01)
• Page Start: 370
• Page End: 376
• Publication Date: 2012-12-03
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.24634
• Languages: English
• ISSNs: 1522-1946

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ccd24634-sec-0001" sec-type="section"> <title>Objectives</title> <p>We aimed to compare long‐term clinical outcomes between modified mini‐crush (modi‐MC) technique with classic crush (crush) technique for treatment of bifurcation lesions.</p> </sec> <sec id="ccd24634-sec-0002" sec-type="section"> <title>Background</title> <p>The modi‐MC technique showed excellent procedural success and favorable 9‐month clinical outcomes.</p> </sec> <sec id="ccd24634-sec-0003" sec-type="section"> <title>Methods</title> <p>From January 2005 to November 2009, we enrolled patients with de novo bifurcation lesions treated with modi‐MC (<italic>n</italic> = 112 lesions in 111 patients) and crush technique (<italic>n</italic> = 69 lesions in 67 patients). Primary endpoint was rate of major adverse cardiac events (MACE), a composite of all‐cause death, myocardial infarction (MI), and target lesion revascularization (TLR) at 3 years.</p> </sec> <sec id="ccd24634-sec-0004" sec-type="section"> <title>Results</title> <p>There was no significant difference in baseline characteristics. The modi‐MC technique showed a significantly higher success rate of final kissing balloon inflation (84.1 vs. 98.2%, <italic>P</italic> = 0.001). After 3 years, MACE rate was significantly lower in the modi‐MC group (25.4 vs. 12.6%, <italic>P</italic> = 0.030). The incidence of all‐cause death was 7.5 vs. 2.7% (<italic>P</italic> = 0.087), MI was 4.5 vs. 1.8% (<italic>P</italic> = 0.290), TLR was 17.4 vs. 8.9% (<italic>P</italic> = 0.093) and stent thrombosis was 3.0 vs. 1.8% (<italic>P</italic> = 0.632) in the crush and modi‐MC groups, respectively.</p> </sec> <sec id="ccd24634-sec-0005" sec-type="section"> <title>Conclusions</title> <p>The modified mini‐crush technique showed more favorable 3‐year clinical outcomes compared to the classic crush technique. © 2012 Wiley Periodicals, Inc.</p> </sec> </abstract>