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Published in: Heart and Vessels 4/2015

01-07-2015 | Original Article

Angiographic result of T-stenting with small protrusion using drug-eluting stents in the management of ischemic side branch: the ARTEMIS study

Authors: Man-Hong Jim, Eugene Brian Wu, Raymond Chi-yan Fung, Andrew Kei-yan Ng, Kai-Hang Yiu, Chung-Wah Siu, Hee-Hwa Ho

Published in: Heart and Vessels | Issue 4/2015

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Abstract

The aim of this study was to examine the mid-term angiographic result of T-stenting with small protrusion (TAP) as the bailout strategy for treating coronary bifurcation lesions. From 2009 to 2012, symptomatic patients who had severe coronary bifurcation stenoses were treated with one-stent strategy using drug-eluting stents, with kissing balloon inflation performed whenever side branch (SB) impingement occurred. TAP was performed if residual diameter stenosis of SB was ≥75 %, presence of ≥type B dissection or flow impairment was observed in the SB. Seventy-one patients (83 % male, mean age of 61 ± 12 years) were recruited into the study. MEDINA classification 1,1,1 lesions were observed in over 60 % of patients. The mean stent size and length in the main vessel (MV) and SB were 2.86 ± 0.43 and 30 ± 12, and 2.45 ± 0.26 and 16 ± 6 mm, respectively. Restudy angiography was performed on 64 (90 %) patients at 9.2 ± 3.9 months. Angiographic restenosis was observed in 8 (12.5 %) patients with late lumen loss in the MV and SB being 0.22 ± 0.19 and 0.34 ± 0.37 mm, respectively. The use of TAP as the bailout technique for treating coronary bifurcation lesions is associated with good angiographic outcomes, in terms of late lumen loss and restenosis, at 9 months.
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Metadata
Title
Angiographic result of T-stenting with small protrusion using drug-eluting stents in the management of ischemic side branch: the ARTEMIS study
Authors
Man-Hong Jim
Eugene Brian Wu
Raymond Chi-yan Fung
Andrew Kei-yan Ng
Kai-Hang Yiu
Chung-Wah Siu
Hee-Hwa Ho
Publication date
01-07-2015
Publisher
Springer Japan
Published in
Heart and Vessels / Issue 4/2015
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-014-0492-9

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