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Clinical Outcomes of Double-Kissing Crush or Double-Kissing Culotte in Nonleft Main Bifurcation Lesions: The ROUTE Trial.
Circ Cardiovasc Interv
November 2024
Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Istanbul, Turkiye.
Background: Double-kissing (DK) crush and DK culotte are the recommended 2-stent strategies in true coronary bifurcation lesions. However, it is a matter of curiosity about which of the DK crush and DK culotte stenting techniques will have superior results. We aimed to compare the clinical outcomes of DK crush and DK culotte stenting in nonleft main coronary artery bifurcation.
View Article and Find Full Text PDFEarly effect of different bifurcation techniques on left ventricular mechanics in elective percutaneous coronary intervention.
Egypt Heart J
July 2024
Cardiology Department, Tanta University, 55-ElGish Street, Tanta, Gharbia, Egypt.
Background: Bifurcation lesions are prevalent amongst patients with symptomatic coronary artery disease subjected to percutaneous coronary intervention (PCI). Recent consensus commends a conservative (provisional) approach when managing the side branch. Here, the aim was to explore the immediate impact of different bifurcation techniques (one stent and two stent strategies) on left ventricular LV) myocardial functions using speckle tracking echocardiography in patients subjected to elective PCI.
View Article and Find Full Text PDFA Bayesian meta-analysis of double kissing (DK) crush or provisional stenting for coronary artery bifurcation lesions.
Indian Heart J
May 2024
Franciscan Health, Lafayette, IN, USA; Krannert Cardiovascular Research Center, Indianapolis, IN, USA. Electronic address:
Objective: Despite the development of dedicated, two-stent strategies, including the double kissing (DK) crush technique, the ideal technique for coronary artery bifurcation stenting has not been identified. We aimed to compare and determine the absolute risk difference (ARD) of the DK crush technique alone versus provisional stenting approaches for coronary bifurcation lesions, using the Bayesian technique.
Method: We queried PubMed/MEDLINE to identify randomized controlled trials (RCTs) that compared DK crush technique with provisional stenting for bifurcation lesions, published till January 2023.
Comparison of long-term outcomes of double kissing crush versus T and minimal protrusion techniques in complex bifurcation lesions: The EVOLUTE-CRUSH II registry.
Catheter Cardiovasc Interv
March 2024
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy.
Article Synopsis
- A study was conducted to compare the long-term outcomes of two coronary intervention techniques, double kissing (DK)-crush and T-stenting and small protrusion (TAP), in patients with complex bifurcation lesions.
- The research included 255 patients, with a focus on target lesion failure (TLF), encompassing cardiac death, heart attacks, and revascularization needs.
- Results indicated that the DK-crush technique resulted in significantly lower rates of TLF and revascularization compared to the TAP technique, suggesting better long-term outcomes with DK-crush.
Optical Coherence Tomography Predictors of SIde Branch REstenosis after unprotected Left Main bifurcation angioplasty using double kissing crush technique (OP-SIBRE LM Study).
Catheter Cardiovasc Interv
January 2024
Department of Cardiology, Army Institute of Cardiothoracic Sciences (AICTS), Pune, India.
Background: Among the two stent strategies, contemporary evidence favors double kissing crush technique (DKC) for complex unprotected distal left main bifurcation (UdLMB) lesions. However one of the major challenges to these lesions is side branch (SB) restenosis.
Aims: Our aim was to identify optical coherence tomographic (OCT) characteristics that may predict SB restenosis (SBR) after UdLMB angioplasty using DKC technique.
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