Procedural impact of a kissing-balloon predilation (Pre-Kissing) technique in patients with complex bifurcations undergoing drug-eluting stenting

Francesco Burzotta, Carlo Trani, Filippo Crea, Cristina Aurigemma, Italo Porto, Giampaolo Niccoli, Osama Shoeib

Risultato della ricerca: Contributo in rivistaArticolo in rivista

2 Citazioni (Scopus)

Abstract

Aim. To assess the impact of lesion predilation with kissing inflation using under-sized balloons (pre-kissing [PK]) on the procedural outcome of percutaneous intervention (PCI) on coronary bifurcation lesions (CBLs). Methods. Patients who underwent PCI with second-generation drug-eluting stenting on a complex CBL (Medina 1,1,1 or 1,0,1 or 0,1,1) were selected. The study population was divided according to the lesion preparation into the PK group and the control group. To adjust for higher anatomic complexity of PK patients, a 2:1 propensity-matched (PM)-control group was selected. The PCI procedural details were assessed to evaluate occurrence of "side-branch trouble" (primary procedural endpoint) after main-vessel (MV) stenting. Angiographic characteristics, including side-branch TIMI flow during PCI, were also systematically evaluated. Results. A total of 538 patients were identified, with 66 patients in the PK group, 472 patients in the control group, and 126 patients in the PM-control group. Side-branch trouble was less common in side-branch PK patients vs the PM-control patients (7.5% vs 18.0%, respectively; P=.03). In multivariable analysis, the absence of PK independently predicted side-branch trouble. Among selected patients with a long side-branch lesion (122 patients), the PK technique improved post-MV stenting side-branch TIMI flow. Conclusions. Use of PK with under-sized balloons may facilitate side-branch management after MV stenting in patients with complex CBL undergoing provisional stenting.
Lingua originaleEnglish
pagine (da-a)80-88
Numero di pagine9
RivistaJOURNAL OF INVASIVE CARDIOLOGY
Volume31
Stato di pubblicazionePubblicato - 2019

Keywords

  • Bifurcated lesions
  • Drug-eluting stent
  • Kissing-balloon technique
  • Percutaneous coronary interventions

Fingerprint

Entra nei temi di ricerca di 'Procedural impact of a kissing-balloon predilation (Pre-Kissing) technique in patients with complex bifurcations undergoing drug-eluting stenting'. Insieme formano una fingerprint unica.

Cita questo