Impact of coronary bifurcation angle on clinical outcomes after percutaneous coronary intervention in real-world practice: Results from the COBIS registry

Jeong Hoon Yang, Young Bin Song, Pil Sang Song, Joo Yong Hahn, Seung Hyuk Choi, Jin Ho Choi, Sang Hoon Lee, Hyo Soo Kim, Yangsoo Jang, Seung Jea Tahk, Ki Bae Seung, Seung Jung Park, Hyeon Cheol Gwon

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11 Citations (Scopus)

Abstract

Objectives: Bifurcation angle has emerged as a predictor of outcome after percutaneous coronary intervention (PCI) for bifurcation lesions. We investigated the impact of bifurcation angle on clinical outcomes in patients undergoing bifurcation lesion PCI. Methods: Consecutive patients who received PCI for bifurcation lesions were enrolled from 16 centers in Korea between January 2004 and June 2006. Patients were divided into low-angle and high-angle groups using the median bifurcation angle (50°). We compared major adverse cardiac events, including cardiac death, myocardial infarction and target lesion revascularization as well as periprocedural outcomes between the 2 groups. Results: We evaluated 1,432 patients with bifurcation lesions with a median follow-up duration of 21 months. The rates of interventional side branch procedures such as guide-wiring of side branches, side-branch ballooning, final kissing ballooning and side-branch stenting were higher in the low-angle group. However, the incidences of major adverse cardiac events and target lesion revascularization were not significantly different between the 2 groups (6.6 vs. 6.9%, p = 0.856 and 4.6 vs. 5.7%, p = 0.375, respectively). Conclusions: Bifurcation angle may not influence long-term clinical outcome in patients with non-left main bifurcation lesion undergoing PCI despite its association with more interventional side-branch procedures.

Original languageEnglish
Pages (from-to)216-224
Number of pages9
JournalCardiology (Switzerland)
Volume122
Issue number4
DOIs
Publication statusPublished - 2012 Sep

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Pharmacology (medical)

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    Yang, J. H., Song, Y. B., Song, P. S., Hahn, J. Y., Choi, S. H., Choi, J. H., Lee, S. H., Kim, H. S., Jang, Y., Tahk, S. J., Seung, K. B., Park, S. J., & Gwon, H. C. (2012). Impact of coronary bifurcation angle on clinical outcomes after percutaneous coronary intervention in real-world practice: Results from the COBIS registry. Cardiology (Switzerland), 122(4), 216-224. https://doi.org/10.1159/000338817