| چکیده انگلیسی مقاله |
Background: A coronary bifurcation lesion is defined as a stenosis located at the origin of a significant side branch. While the provisional approach is recognized as the gold standard, the two-stent strategy is proposed as a viable alternative. This study aimed to compare the incidence of major adverse cardiac events (MACE) between the provisional and double-stenting techniques.
Methods: A total of 280 patients with stenosis at the bifurcation of the coronary arteries were enrolled in the study. The variables examined included the location of the lesion in the coronary arteries, the extent of the coronary artery lesion, the treatment strategy (either double stenting or provisional stenting), and the incidence of MACE. Patients were followed up at 6 months and 1 year after angioplasty. Data were analyzed using SPSS software to compare the frequency of MACE between the 2 groups. A significance level of P < 0.05 was considered.
Results: Of the 280 participants, 219 were assigned to the provisional group, while the remaining participants were in the double-stenting group. A comparison of the 2 groups regarding vessel involvement and lesion site classification revealed that the highest frequency (75%) was associated with the left anterior descending artery and the diagonal branches. The most common complication observed during the first follow-up was recurrent angioplasty, occurring in 10.71% of participants. Additionally, 33.33% of the total participants in both groups underwent target vessel revascularization 1 year after angioplasty.
Conclusions: There was no significant difference in the occurrence of MACE between the provisional and double-stenting methods for treating coronary bifurcation lesions. (Iranian Heart Journal 2025; 26(2): 15-22) |
| نویسندگان مقاله |
Seyed Aboozar Fakhr Mousavi |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Arsalan Salari |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Aseme Pourrajabi |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Fardin Mirbolouk |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Sanaz Kalavari |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Samaneh Karami |
Cardiovascular Diseases Research Center, Department of English, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Salman Nikfarjam |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
Seyed Mehdi Mousavi |
Cardiovascular Diseases Research Center, Department of Cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, IR Iran.
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