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- Title
Very long-term follow-up of patients with coronary bifurcation lesions treated with bioresorbable scaffolds.
- Authors
Iwańczyk, Sylwia; Araszkiewicz, Aleksander; Grygier, Marek; Klotzka, Aneta; Pyda, Małgorzata; Skorupski, Włodzimierz; Mitkowski, Przemysław; Łanocha, Magdalena; Grajek, Stefan; Drewnicki, Andrzej; Mularek-Kubzdela, Tatiana; Lesiak, Maciej
- Abstract
Backgrounds: The data concerning the use of bioresorbable vascular scaffolds (BVS) in coronary bifurcation lesions are limited. Aims: The objective of the study was to evaluate the early and very long-term clinical outcomes of bifurcation stenting with ABSORB BVS. Methods: One hundred consecutive patients with coronary bifurcation lesions treated with BVS were included. A total of 124 BVS were implanted. Provisional side branch stenting was performed in 66 patients, distal main stenting in 14 patients, systematic T stenting in 2, and T with minimal protrusion (TAP) in 5 patients. Side branch ostial stenting was performed in additional 12 patients. Results: The procedural success was achieved in 98% of patients. In long-term follow-up, the rate of cardiac death was 4.0%, target vessel myocardial infarction was 5.0%, and target vessel revascularization (TVR) was 11%. The cumulative incidence of definite/probable scaffold thrombosis (ST) was 2% at long-term follow-up. Comparison with the historical drug-eluting stents (DES) group revealed higher mortality and major adverse cardiac events rate in the ABSORB group. Conclusions: Stenting of coronary bifurcation lesions of low-to-moderate complexity with BVS was feasible with good acute performance and acceptable results. However, the risk of death and major adverse cardiovascular events was higher as compared with DES.
- Subjects
MORTALITY risk factors; PATIENT aftercare; PERCUTANEOUS coronary intervention; DRUG-eluting stents; MAJOR adverse cardiovascular events; SURGICAL stents; MYOCARDIAL infarction; TREATMENT effectiveness; CORONARY thrombosis; CORONARY artery disease; CARDIAC arrest; MYOCARDIAL revascularization; DESCRIPTIVE statistics; DATA analysis software; DISEASE risk factors
- Publication
Polish Heart Journal / Kardiologia Polska, 2022, Vol 80, Issue 3, p307
- ISSN
0022-9032
- Publication type
Article
- DOI
10.33963/KP.a2022.0031