@article{article_706595, title={Incidence of bifurcation coronary lesion as a culprit lesion in patients with acute myocardial infarction: impact of treatment strategy on short and long term outcomes}, journal={Pamukkale Medical Journal}, volume={13}, pages={519–527}, year={2020}, DOI={10.31362/patd.706595}, url={https://izlik.org/JA26KX46XK}, author={Harbalıoğlu, Hazar and Turkoglu, Caner and Şeker, Taner and Quisi, Alaa and Genc, Omer and Alıcı, Gökhan and Allahverdiyev, Samir and Baykan, Ahmet Oytun and Gür, Mustafa}, keywords={Acute coronary syndrome, bifurcation, revascularization, side branch loss, mortality}, abstract={<p>Abstract <br />Purpose: Although, there are several studies comparing single and two-stent techniques in patients with <br />bifurcation lesions, evidence in patients presenting with myocardial infarction (MI) is still insufficient. We aimed <br />to assess the short and long term outcomes of provisional and two-stent techniques of bifurcation lesions in <br />patients with ACS. <br />Materials and methods: 2992 patients with MI who underwent percutaneous coronary intervention (PCI) were <br />enrolled in the present study. Of 2992 patients, 385 patients with MI had bifurcation lesions. The Synergy <br />between PCI with TAXUS™ and Cardiac Surgery (SYNTAX) score, pre-PCI Thrombolysis in Myocardial <br />Infarction (TIMI) flow, post-PCI TIMI flow, duration of procedure, angiographic features, post-PCI side branch <br />loss, 1- and 12-month mortality rates were noted. <br />Results: 169 (43.9%) patients had ST segment elevation MI, whereas 216 (56.1%) patients had non-ST segment <br />elevation MI. 355 (92.2%) patients underwent provisional stenting and 30 (7.8%) patients underwent two-stent <br />technique. Side branch loss was observed in 40 patients (11.2%) in the provisional group and 1 patient (3.3%) <br />in the two-stent group (p=0.2). Compared to provisional group, durations of angiography and revascularization <br />in two-stent group were significantly longer (p<0.001 and p<0.001). Both 1-month and 12-month mortality <br />rates were similar in provisional and two-stent groups (4.2% vs. 3.3%, p=0.8 and 11.5% and 13.3%, p=0.7; <br />respectively). <br />Conclusion: In patients presenting with ACS and bifurcation lesions, procedural success, side branch loss, as <br />well as short and long term mortality were similar in both provisional and two-stent techniques. </p> <p> <br /> </p>}, number={3}