Predictors of 1- and 12-month mortality in bifurcation coronary intervention: a contemporary perspective.
| Title: | Predictors of 1- and 12-month mortality in bifurcation coronary intervention: a contemporary perspective. |
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| Authors: | Protty MB; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Systems Immunity University Research Institute, Cardiff University, Cardiff, CF14 4XN, UK.; Valenzuela T; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Sharaf A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Shome J; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Hasan S; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Chase A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Swansea University Medical School, Swansea, SA1 8EN, UK.; UlHaq Z; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Ionescu A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Swansea University Medical School, Swansea, SA1 8EN, UK.; Khurana A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Jenkins G; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Obaid DR; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Swansea University Medical School, Swansea, SA1 8EN, UK.; Choudhury A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK.; Swansea University Medical School, Swansea, SA1 8EN, UK.; Hailan A; Department of Cardiology, Morriston Cardiac Centre, Swansea, SA6 6NL, UK. |
| Source: | Future cardiology [Future Cardiol] 2023 May; Vol. 19 (6), pp. 353-361. Date of Electronic Publication: 2023 Jul 14. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101239345 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-8298 (Electronic) Linking ISSN: 14796678 NLM ISO Abbreviation: Future Cardiol Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2024- : [Milton Park, Oxfordshire] : Taylor & Francis; Original Publication: London : Future Medicine, c2004- |
| MeSH Terms: | Coronary Artery Disease*/surgery ; Percutaneous Coronary Intervention*/methods; Humans ; Female ; Aged ; Male ; Coronary Angiography ; Risk Factors ; Treatment Outcome ; Stents |
| Abstract: | Aim: Bifurcation-PCI is performed frequently, although without extensive evidence to back up a definitive solution for its complexity. We set out to identify factors associated with 1- and 12-month mortality after bifurcation-PCI between 2017 and 2021 in our tertiary center in Wales, UK. Results: Of 732 bifurcation PCI cases (mean age 69; 25% female), 67% were in ACS, 42% were left main PCI and 25.3% involved two-stent strategy. 30-day and 12-month mortality were 1.9 and 8.2%, respectively. Age, diabetes, smoking and renal failure are associated with mortality after bifurcation-PCI, while the choice between provisional and 2-stent strategies did not impact mortality/TLR. Conclusion: Awareness of 'real-world' outcomes of bifurcation-PCI should be used for appropriate patient selection, technique planning and procedural consent. |
| Contributed Indexing: | Keywords: bifurcation; complex coronary angioplasty; coronary artery disease; interventional; ischaemic heart disease; outcomes; percutaneous coronary interventions; stents |
| Entry Date(s): | Date Created: 20230714 Date Completed: 20230809 Latest Revision: 20230809 |
| Update Code: | 20260130 |
| DOI: | 10.2217/fca-2023-0058 |
| PMID: | 37449460 |
| Database: | MEDLINE |
Journal Article