复杂冠脉分叉病变的PCI治疗策略-PPT文档资料.ppt
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1、One or two stents?,Nordic Bifurcation Study (n=413),413 pts with bifurcation lesion,Stenting of the main vessel and side branch (MV+SB),Stenting of the main vessel and optional stenting of the side branch (MV),n=206,n=207,Randomized,Primary Endpoint: Major adverse cardiac event (MACE) at 6 months,Pr
2、imary Endpoint of MACE at 6 months (%) p=NS,Presented at ACC 2006,There was no difference in major adverse cardiac events at 6 months (17.7% vs 12.7%; p=NS),Nordic Bifurcation Study (n=413),Procedure related MI was defined as a five-fold elevation of biochemical markers Procedure related MI occurred
3、 more than three times as often in the MV+SB group (13% vs 4%; p=0.008),Procedure Related Myocardial Infarction (%) p=0.008,Presented at ACC 2006,Nordic Bifurcation Study (n=413),One Stent Strategy,Provisional T Stenting,Provisional T Stent,Provision-T stent technique,53 pts, SB2mm MACE 9.4% at 14+/
4、-3 months TLR 3.8%, MV restensosis 3.2%, SB 12.9% at 6 months,Vigna C, et al. J Invasive Cardiol. 2007 Mar;19(3):92-7.,The SB has a narrowing at its ostium,The MB has severe stenosis with a large plaque burden and the SB originates with an angle of 45,The ostium of the SB deteriorates after pre-dila
5、tation of the MB,A wire is needed in the following circumstances:,Provisional T Stent,FKB is Very Important for Provisional T Stent,Provisional T Stent,Two Stents Techniques,T stent Culotte SKS V stent Provisional T Modified T stent Y stent,BMS Era,DES Era,Crush,Reverse Crush,Balloon Crush,DK Crush,
6、Mini-Crush,Inverted Crush,T stent Technique,Culotte Technique,Clinical Outcomes,In BMS era, the incidence of TLR was 24% at 6 months (Chevalier. Am J Cardiol 1998;82:943) In DES era, the incidence of MACE was 5.3% and TLR was 15.4% (Hoye, et al. Int J Cardiovasc interven 2005;7:36),Culotte vs T sten
7、t in DES era,80 patients with bifurcation lesions,Culotte technique 45 cases,T stent 35 cases,The procedural success rate 100% TLR: 8.9% P = 0.014 ;9months MACE 13.3% P=0.051,Kaplan S, et al. Am Heart J. 2007 Aug;154(2):336-43,The procedural success rate 100% TLR: 27.3% 9months MACE 27.3%,SKS Techni
8、que,Clinical Outcome,200 patients with bifurcation lesions,SKS technique,Cypher stents,The clinical success rate is 97% The incidence of TLR: 4% 9+/- 2 months,Sharma SK. Catheterization and Cardiovascular Interventions 2005;65:10,Clinical Outcome,36 patients with bifurcation lesions,SKS technique,SE
9、S stents 26.7+/-8.6 month,The procedure success rate is 100% No MACE, MB restenosis13%, SB 10% The incidence of TLR: 14%,Kim YH, et al. Catheter Cardiovasc Interv. 2007 Nov 15;70(6):840-6,Y Stent Technique,Crush Technique,Clinical Outcomes,The survival rate free of TLR was 90.3%, incidence of resten
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