Yıl 2020, Cilt 13 , Sayı 3, Sayfalar 519 - 527 2020-09-18

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
Akut miyokart enfarktüsü olan hastalarda sorumlu lezyonun bifurkasyon lezyon olma sıklığı ve seçilen tedavi stratejisinin erken ve geç dönem sonuçlara etkisi

Hazar HARBALIOĞLU [1] , Caner TURKOGLU [2] , Taner ŞEKER [3] , Alaa QUİSİ [4] , Omer GENC [5] , Gökhan ALICI [6] , Samir ALLAHVERDİYEV [7] , Ahmet Oytun BAYKAN [8] , Mustafa GÜR [9]


Abstract
Purpose: Although, there are several studies comparing single and two-stent techniques in patients with
bifurcation lesions, evidence in patients presenting with myocardial infarction (MI) is still insufficient. We aimed
to assess the short and long term outcomes of provisional and two-stent techniques of bifurcation lesions in
patients with ACS.
Materials and methods: 2992 patients with MI who underwent percutaneous coronary intervention (PCI) were
enrolled in the present study. Of 2992 patients, 385 patients with MI had bifurcation lesions. The Synergy
between PCI with TAXUS™ and Cardiac Surgery (SYNTAX) score, pre-PCI Thrombolysis in Myocardial
Infarction (TIMI) flow, post-PCI TIMI flow, duration of procedure, angiographic features, post-PCI side branch
loss, 1- and 12-month mortality rates were noted.
Results: 169 (43.9%) patients had ST segment elevation MI, whereas 216 (56.1%) patients had non-ST segment
elevation MI. 355 (92.2%) patients underwent provisional stenting and 30 (7.8%) patients underwent two-stent
technique. Side branch loss was observed in 40 patients (11.2%) in the provisional group and 1 patient (3.3%)
in the two-stent group (p=0.2). Compared to provisional group, durations of angiography and revascularization
in two-stent group were significantly longer (p<0.001 and p<0.001). Both 1-month and 12-month mortality
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;
respectively).
Conclusion: In patients presenting with ACS and bifurcation lesions, procedural success, side branch loss, as
well as short and long term mortality were similar in both provisional and two-stent techniques.


Background: Although, there are several studies comparing single and two-stent techniques in patients with bifurcation lesions, evidence in patients presenting with myocardial infarction (MI) is still insufficient. We aimed to assess the short and long term outcomes of provisional and two-stent techniques of bifurcation lesions in patients with ACS. Methods: 2992 patients with MI who underwent percutaneous coronary intervention (PCI) were enrolled in the present study. Of 2992 patients, 385 patients with MI had bifurcation lesions. The Synergy between PCI with TAXUS™ and Cardiac Surgery (SYNTAX) score, pre-PCI Thrombolysis in Myocardial Infarction (TIMI) flow, post-PCI TIMI flow, duration of procedure, angiographic features, post-PCI side branch loss, 1- and 12-month mortality rates were noted. Results: 169 (43.9 %) patients had ST segment elevation MI, whereas 216 (56.1%) patients had non-ST segment elevation MI. 355 (92.2%) patients underwent provisional stenting and 30 (7.8%) patients underwent two-stent technique. Side branch loss was observed in 40 patients (11.2 %) in the provisional group and 1 patient (3.3%) in the two-stent group (p=0.2). Compared to provisional group, durations of angiography and revascularization in two-stent group were significantly longer (p<0.001 and p<0.001). Both 1-month and 12-month mortality 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; respectively). Conclusion: In patients presenting with ACS and bifurcation lesions, procedural success, side branch loss, as well as short and long term mortality were similar in both provisional and two-stent techniques.
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Birincil Dil en
Konular Kalp ve Kalp Damar Sistemi
Yayınlanma Tarihi Eylül 2020
Bölüm Araştırma Makalesi
Yazarlar

Orcid: 0000-0002-6694-814X
Yazar: Hazar HARBALIOĞLU (Sorumlu Yazar)
Kurum: Duzce Ataturk Devlet Hastanesi
Ülke: Turkey


Orcid: 0000-0003-1275-630X
Yazar: Caner TURKOGLU
Kurum: Malatya Numune Training and Research Hospital
Ülke: Turkey


Orcid: 0000-0003-4254-907X
Yazar: Taner ŞEKER
Kurum: ADANA NUMUNE RESEARCH AND TRAINING HOSPITAL
Ülke: Turkey


Orcid: 0000-0002-5862-5789
Yazar: Alaa QUİSİ
Kurum: Adana Medline Hospital
Ülke: Turkey


Orcid: 0000-0002-9097-5391
Yazar: Omer GENC
Kurum: ADANA NUMUNE RESEARCH AND TRAINING HOSPITAL
Ülke: Turkey


Orcid: 0000-0002-4589-7566
Yazar: Gökhan ALICI
Kurum: UNIVERSITY OF HEALTH SCIENCES, İSTANBUL OKMEYDANI HEALTH RESEARCH CENTER
Ülke: Turkey


Orcid: 0000-0003-3175-0835
Yazar: Samir ALLAHVERDİYEV
Kurum: İSTANBUL AYDIN ÜNİVERSİTESİ
Ülke: Turkey


Orcid: 0000-0002-6103-2511
Yazar: Ahmet Oytun BAYKAN
Kurum: Adana Ortadogu Hospital
Ülke: Turkey


Orcid: 0000-0002-3841-5282
Yazar: Mustafa GÜR
Kurum: ADANA NUMUNE RESEARCH AND TRAINING HOSPITAL
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 18 Eylül 2020

Bibtex @araştırma makalesi { patd706595, journal = {Pamukkale Tıp Dergisi}, issn = {}, eissn = {1308-0865}, address = {Pamukkale Üniversitesi Tıp Fakültesi Eğitim Blokları Kınıklı kampüsü 20070 Kınıklı, Denizli}, publisher = {Pamukkale Üniversitesi}, year = {2020}, volume = {13}, pages = {519 - 527}, doi = {10.31362/patd.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}, key = {cite}, author = {Harbalıoğlu, Hazar and Turkoglu, Caner and Şeker, Taner and Qui̇si̇, Alaa and Genc, Omer and Alıcı, Gökhan and Allahverdi̇yev, Samir and Baykan, Ahmet Oytun and Gür, Mustafa} }
APA Harbalıoğlu, H , Turkoglu, C , Şeker, T , Qui̇si̇, A , Genc, O , Alıcı, G , Allahverdi̇yev, S , Baykan, A , Gür, M . (2020). 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 . Pamukkale Tıp Dergisi , 13 (3) , 519-527 . DOI: 10.31362/patd.706595
MLA Harbalıoğlu, H , Turkoglu, C , Şeker, T , Qui̇si̇, A , Genc, O , Alıcı, G , Allahverdi̇yev, S , Baykan, A , Gür, M . "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" . Pamukkale Tıp Dergisi 13 (2020 ): 519-527 <https://dergipark.org.tr/tr/pub/patd/issue/55097/706595>
Chicago Harbalıoğlu, H , Turkoglu, C , Şeker, T , Qui̇si̇, A , Genc, O , Alıcı, G , Allahverdi̇yev, S , Baykan, A , Gür, M . "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". Pamukkale Tıp Dergisi 13 (2020 ): 519-527
RIS TY - JOUR T1 - 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 AU - Hazar Harbalıoğlu , Caner Turkoglu , Taner Şeker , Alaa Qui̇si̇ , Omer Genc , Gökhan Alıcı , Samir Allahverdi̇yev , Ahmet Oytun Baykan , Mustafa Gür Y1 - 2020 PY - 2020 N1 - doi: 10.31362/patd.706595 DO - 10.31362/patd.706595 T2 - Pamukkale Tıp Dergisi JF - Journal JO - JOR SP - 519 EP - 527 VL - 13 IS - 3 SN - -1308-0865 M3 - doi: 10.31362/patd.706595 UR - https://doi.org/10.31362/patd.706595 Y2 - 2020 ER -
EndNote %0 Pamukkale Tıp Dergisi 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 %A Hazar Harbalıoğlu , Caner Turkoglu , Taner Şeker , Alaa Qui̇si̇ , Omer Genc , Gökhan Alıcı , Samir Allahverdi̇yev , Ahmet Oytun Baykan , Mustafa Gür %T 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 %D 2020 %J Pamukkale Tıp Dergisi %P -1308-0865 %V 13 %N 3 %R doi: 10.31362/patd.706595 %U 10.31362/patd.706595
ISNAD Harbalıoğlu, Hazar , Turkoglu, Caner , Şeker, Taner , Qui̇si̇, Alaa , Genc, Omer , Alıcı, Gökhan , Allahverdi̇yev, Samir , Baykan, Ahmet Oytun , Gür, Mustafa . "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". Pamukkale Tıp Dergisi 13 / 3 (Eylül 2020): 519-527 . https://doi.org/10.31362/patd.706595
AMA Harbalıoğlu H , Turkoglu C , Şeker T , Qui̇si̇ A , Genc O , Alıcı G , Allahverdi̇yev S , Baykan A , Gür M . 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. Pamukkale Tıp Dergisi. 2020; 13(3): 519-527.
Vancouver Harbalıoğlu H , Turkoglu C , Şeker T , Qui̇si̇ A , Genc O , Alıcı G , Allahverdi̇yev S , Baykan A , Gür M . 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. Pamukkale Tıp Dergisi. 2020; 13(3): 519-527.