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Corresponding Author

Assem Salama Salem

Document Type

Original Article

Abstract

Background: Almost all previous trials on percutaneous coronary interventions in coronary bifurcation lesions concluded that the provisional approach is the standard approach for most true bifurcated lesions. The absence of diabetes subgroup analysis.in these trials was important limitations.

Aim: The present study aimed to assess a long term clinical outcome (at 1 year) of PCI to coronary bifurcation lesions in diabetic patients using two stents vs one stent techniques.

Methodology: Overall, 100 patients with true bifurcated coronary lesions were erratically allocated to undergo upfront 2-stent procedure (2-stent group) and provisional procedure (1-stent group).

Results: The TLF at the 12-month follow-up was the 1ry endpoint, signified by a composite of target vessels myocardial infarctions (TVMI), clinically driven target lesions revascularization (TLR), and cardiac deaths. At the 12 months follow - up, TLF was present in 12 (24%) and 4 (8%) patients in the one and two-stent groups, respectively (p = 0.029) driven by increased TVMI in the one stent group.

Conclusion: In diabetic patients with bifurcated coronary lesions, the upfront two-stent plan was accompanied with better clinical results compared with the provisional approach.

Keywords

Coronary bifurcation lesions ; Provisional stenting ; Two-stent strategy ; Target lesion failure

Subject Area

Cardiovascular

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