Unprotected distal left main coronary bifurcation lesion
Conditions
Interventions
Group A:Using provision technique,stents in MV.If additional stent being required in side branch.
Group B:Using DK crush technique Implants stents in MV and SB
Sponsors
Nanjing First Hospital, Nanjing Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Documented Stable/unstable angina or AMI>24-hour from the onset of chest pain to admission; 2. LMb (Medina 0, 1, 1/1, 1, 1) with/without ostial/shaft lesions; 3. Downstrem lesions in LAD or LCX could be covered by two stents; 4. LMb with CTO lesion in LAD, or LCX or RCA after recanalization; 5. Patients eligible to be treated by PCI; 6. Diameter stenosis in LAD/LMT and LCX >=50% by visual estimation; 7. Signed informed consent.
Exclusion criteria
Exclusion criteria: 1. STEMI <24-hour from the onset of chest pain to admission; 2. Expected survival <1 year; 3. Allergy to indexed medications; 4. Intolerable to dual antiplatelet therapy; 5. Allergy to sirolimus; 6. CTO lesion in either LAD,or LCX or RCA not recanalized; 7. Women in pregnant; 8. Severe calcification needing rotational athrectomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Target lesion failure (TLF) rate at 12 months post-index procedure; | — |
Secondary
| Measure | Time frame |
|---|---|
| Net gain of lumen diameter;Definite and probable stent thrombosis.;In-stent restenosis;Cardiac death, Target-vessel myocardial infarction (TV-MI), or Target lesion revascularization (TLR). ;Target-vessel myocardial infarction (TV-MI); | — |
Countries
China
Contacts
Public ContactShao-Liang Chen
Outcome results
None listed