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Comparison of 3-year clinical outcomes between classic crush and modified mini-crush technique in coronary bifurcation lesions.

DC Field Value Language
dc.contributor.authorYang, HM-
dc.contributor.authorTahk, SJ-
dc.contributor.authorChoi, SY-
dc.contributor.authorYoon, MH-
dc.contributor.authorLim, HS-
dc.contributor.authorChoi, BJ-
dc.contributor.authorWoo, SI-
dc.contributor.authorJoe, DY-
dc.contributor.authorSeo, KW-
dc.contributor.authorJin, XJ-
dc.contributor.authorKim, JW-
dc.contributor.authorHwang, GS-
dc.contributor.authorShin, JH-
dc.date.accessioned2014-05-19T05:17:57Z-
dc.date.available2014-05-19T05:17:57Z-
dc.date.issued2013-
dc.identifier.issn1522-1946-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/10000-
dc.description.abstractOBJECTIVES: 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.



BACKGROUND: The modi-MC technique showed excellent procedural success and favorable 9-month clinical outcomes.



METHODS: From January 2005 to November 2009, we enrolled patients with de novo bifurcation lesions treated with modi-MC (n = 112 lesions in 111 patients) and crush technique (n = 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.



RESULTS: 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%, P = 0.001). After 3 years, MACE rate was significantly lower in the modi-MC group (25.4 vs. 12.6%, P = 0.030). The incidence of all-cause death was 7.5 vs. 2.7% (P = 0.087), MI was 4.5 vs. 1.8% (P = 0.290), TLR was 17.4 vs. 8.9% (P = 0.093) and stent thrombosis was 3.0 vs. 1.8% (P = 0.632) in the crush and modi-MC groups, respectively.



CONCLUSIONS: The modified mini-crush technique showed more favorable 3-year clinical outcomes compared to the classic crush technique.
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dc.language.isoen-
dc.subject.MESHAged-
dc.subject.MESHAngioplasty, Balloon, Coronary/adverse effects/instrumentation/*methods/mortality-
dc.subject.MESHCoronary Angiography-
dc.subject.MESHCoronary Artery Disease/diagnosis/mortality/*therapy-
dc.subject.MESHCoronary Thrombosis/epidemiology-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/epidemiology-
dc.subject.MESHRegistries-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of 3-year clinical outcomes between classic crush and modified mini-crush technique in coronary bifurcation lesions.-
dc.typeArticle-
dc.identifier.pmid22927202-
dc.contributor.affiliatedAuthor양, 형모-
dc.contributor.affiliatedAuthor탁, 승제-
dc.contributor.affiliatedAuthor최, 소연-
dc.contributor.affiliatedAuthor윤, 명호-
dc.contributor.affiliatedAuthor임, 홍석-
dc.contributor.affiliatedAuthor최, 병주-
dc.contributor.affiliatedAuthor서, 경우-
dc.contributor.affiliatedAuthor황, 교승-
dc.contributor.affiliatedAuthor신, 준한-
dc.type.localJournal Papers-
dc.identifier.doi10.1002/ccd.24634-
dc.citation.titleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions-
dc.citation.volume82-
dc.citation.number3-
dc.citation.date2013-
dc.citation.startPage370-
dc.citation.endPage376-
dc.identifier.bibliographicCitationCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 82(3):370-376, 2013-
dc.identifier.eissn1522-726X-
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Journal Papers > School of Medicine / Graduate School of Medicine > Cardiology
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