Overlapping vs. one long stenting in long coronary lesions

Sang Hak Lee, Yangsoo Jang, Sung Jin Oh, Kyeong Jin Park, Yong Sun Moon, Ja Won Min, Joo Young Yang, Gil Jin Jang

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Intervention of long coronary lesions remains problematic, and optimal treatment strategy is yet to be determined. Despite advancement of stent technology, data are few regarding the efficacy of overlapping stents vs. a single long stent in long coronary lesions. This study was performed to evaluate the results of those strategies for long coronary lesions and to determine the predictors of in-stent restenosis (ISR). Sixty-four lesions (> 20 mm) in 64 patients were treated with either one long stent (group 1, n = 32) or two overlapping stents (group 2, n = 32). Overlapping stents were used at tortuous or calcified lesions and at lesions with diameter discrepancy or significant dissection. Immediate results, follow-up clinical and angiographic outcomes, and predictors of ISR were evaluated. Procedures were successful in all patients in both groups. Clinical and angiographic follow-ups were performed in 54 (84%) cases and 50 (78%) cases, respectively. During the follow-up, major adverse cardiac event occurred in 36% of group 1 and 29% of group 2 (P = 0.56). Six-month ISR rates were 39% in group 1 and 41% in group 2 (P = 0.91). Age (≥ 65 years old) was an independent risk factor of ISR (54% vs. 23%; OR = 4.4; P = 0.04), and distal reference diameter (RD) of less than 2.5 mm tended to predict ISR in multivariate analysis (60% vs. 25%; OR = 3.5; P = 0.06). In conclusion, stent overlapping can be used with outcome similar to that of one long stent in long coronary lesions. The optimal result may be obtained by considering the patient's age and the distal vessel diameter of the lesion.

Original languageEnglish
Pages (from-to)298-302
Number of pages5
JournalCatheterization and Cardiovascular Interventions
Volume62
Issue number3
DOIs
Publication statusPublished - 2004 Jul 1

Fingerprint

Stents
Dissection
Multivariate Analysis
Technology

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Lee, S. H., Jang, Y., Oh, S. J., Park, K. J., Moon, Y. S., Min, J. W., ... Jang, G. J. (2004). Overlapping vs. one long stenting in long coronary lesions. Catheterization and Cardiovascular Interventions, 62(3), 298-302. https://doi.org/10.1002/ccd.20091
Lee, Sang Hak ; Jang, Yangsoo ; Oh, Sung Jin ; Park, Kyeong Jin ; Moon, Yong Sun ; Min, Ja Won ; Yang, Joo Young ; Jang, Gil Jin. / Overlapping vs. one long stenting in long coronary lesions. In: Catheterization and Cardiovascular Interventions. 2004 ; Vol. 62, No. 3. pp. 298-302.
@article{a38f8bb28096415cbcb44ac96d73b966,
title = "Overlapping vs. one long stenting in long coronary lesions",
abstract = "Intervention of long coronary lesions remains problematic, and optimal treatment strategy is yet to be determined. Despite advancement of stent technology, data are few regarding the efficacy of overlapping stents vs. a single long stent in long coronary lesions. This study was performed to evaluate the results of those strategies for long coronary lesions and to determine the predictors of in-stent restenosis (ISR). Sixty-four lesions (> 20 mm) in 64 patients were treated with either one long stent (group 1, n = 32) or two overlapping stents (group 2, n = 32). Overlapping stents were used at tortuous or calcified lesions and at lesions with diameter discrepancy or significant dissection. Immediate results, follow-up clinical and angiographic outcomes, and predictors of ISR were evaluated. Procedures were successful in all patients in both groups. Clinical and angiographic follow-ups were performed in 54 (84{\%}) cases and 50 (78{\%}) cases, respectively. During the follow-up, major adverse cardiac event occurred in 36{\%} of group 1 and 29{\%} of group 2 (P = 0.56). Six-month ISR rates were 39{\%} in group 1 and 41{\%} in group 2 (P = 0.91). Age (≥ 65 years old) was an independent risk factor of ISR (54{\%} vs. 23{\%}; OR = 4.4; P = 0.04), and distal reference diameter (RD) of less than 2.5 mm tended to predict ISR in multivariate analysis (60{\%} vs. 25{\%}; OR = 3.5; P = 0.06). In conclusion, stent overlapping can be used with outcome similar to that of one long stent in long coronary lesions. The optimal result may be obtained by considering the patient's age and the distal vessel diameter of the lesion.",
author = "Lee, {Sang Hak} and Yangsoo Jang and Oh, {Sung Jin} and Park, {Kyeong Jin} and Moon, {Yong Sun} and Min, {Ja Won} and Yang, {Joo Young} and Jang, {Gil Jin}",
year = "2004",
month = "7",
day = "1",
doi = "10.1002/ccd.20091",
language = "English",
volume = "62",
pages = "298--302",
journal = "Catheterization and Cardiovascular Interventions",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "3",

}

Lee, SH, Jang, Y, Oh, SJ, Park, KJ, Moon, YS, Min, JW, Yang, JY & Jang, GJ 2004, 'Overlapping vs. one long stenting in long coronary lesions', Catheterization and Cardiovascular Interventions, vol. 62, no. 3, pp. 298-302. https://doi.org/10.1002/ccd.20091

Overlapping vs. one long stenting in long coronary lesions. / Lee, Sang Hak; Jang, Yangsoo; Oh, Sung Jin; Park, Kyeong Jin; Moon, Yong Sun; Min, Ja Won; Yang, Joo Young; Jang, Gil Jin.

In: Catheterization and Cardiovascular Interventions, Vol. 62, No. 3, 01.07.2004, p. 298-302.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Overlapping vs. one long stenting in long coronary lesions

AU - Lee, Sang Hak

AU - Jang, Yangsoo

AU - Oh, Sung Jin

AU - Park, Kyeong Jin

AU - Moon, Yong Sun

AU - Min, Ja Won

AU - Yang, Joo Young

AU - Jang, Gil Jin

PY - 2004/7/1

Y1 - 2004/7/1

N2 - Intervention of long coronary lesions remains problematic, and optimal treatment strategy is yet to be determined. Despite advancement of stent technology, data are few regarding the efficacy of overlapping stents vs. a single long stent in long coronary lesions. This study was performed to evaluate the results of those strategies for long coronary lesions and to determine the predictors of in-stent restenosis (ISR). Sixty-four lesions (> 20 mm) in 64 patients were treated with either one long stent (group 1, n = 32) or two overlapping stents (group 2, n = 32). Overlapping stents were used at tortuous or calcified lesions and at lesions with diameter discrepancy or significant dissection. Immediate results, follow-up clinical and angiographic outcomes, and predictors of ISR were evaluated. Procedures were successful in all patients in both groups. Clinical and angiographic follow-ups were performed in 54 (84%) cases and 50 (78%) cases, respectively. During the follow-up, major adverse cardiac event occurred in 36% of group 1 and 29% of group 2 (P = 0.56). Six-month ISR rates were 39% in group 1 and 41% in group 2 (P = 0.91). Age (≥ 65 years old) was an independent risk factor of ISR (54% vs. 23%; OR = 4.4; P = 0.04), and distal reference diameter (RD) of less than 2.5 mm tended to predict ISR in multivariate analysis (60% vs. 25%; OR = 3.5; P = 0.06). In conclusion, stent overlapping can be used with outcome similar to that of one long stent in long coronary lesions. The optimal result may be obtained by considering the patient's age and the distal vessel diameter of the lesion.

AB - Intervention of long coronary lesions remains problematic, and optimal treatment strategy is yet to be determined. Despite advancement of stent technology, data are few regarding the efficacy of overlapping stents vs. a single long stent in long coronary lesions. This study was performed to evaluate the results of those strategies for long coronary lesions and to determine the predictors of in-stent restenosis (ISR). Sixty-four lesions (> 20 mm) in 64 patients were treated with either one long stent (group 1, n = 32) or two overlapping stents (group 2, n = 32). Overlapping stents were used at tortuous or calcified lesions and at lesions with diameter discrepancy or significant dissection. Immediate results, follow-up clinical and angiographic outcomes, and predictors of ISR were evaluated. Procedures were successful in all patients in both groups. Clinical and angiographic follow-ups were performed in 54 (84%) cases and 50 (78%) cases, respectively. During the follow-up, major adverse cardiac event occurred in 36% of group 1 and 29% of group 2 (P = 0.56). Six-month ISR rates were 39% in group 1 and 41% in group 2 (P = 0.91). Age (≥ 65 years old) was an independent risk factor of ISR (54% vs. 23%; OR = 4.4; P = 0.04), and distal reference diameter (RD) of less than 2.5 mm tended to predict ISR in multivariate analysis (60% vs. 25%; OR = 3.5; P = 0.06). In conclusion, stent overlapping can be used with outcome similar to that of one long stent in long coronary lesions. The optimal result may be obtained by considering the patient's age and the distal vessel diameter of the lesion.

UR - http://www.scopus.com/inward/record.url?scp=3042784214&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3042784214&partnerID=8YFLogxK

U2 - 10.1002/ccd.20091

DO - 10.1002/ccd.20091

M3 - Article

C2 - 15224294

AN - SCOPUS:3042784214

VL - 62

SP - 298

EP - 302

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

SN - 1522-1946

IS - 3

ER -