Heart disease, coronary artery Stenosis, bifurcation stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: We include male or female patients older than 18 years with a diagnosis of stable angina, silent ischemia or acute coronary syndromes with a de novo coronary bifurcation lesion, defined as stenosis > 50 % determined by visual estimation in either the main branch (MB) and/or the ostium of the side branch (SB). Both branches were required to have at least a TIMI flow of II or III, a reference vessel size > 2.25 mm upon visual estimation.
Exclusion criteria
Exclusion criteria: Patients exclusion criteria were myocardial infarction in the 24 hours preceding treatment (STEMI), stenosis of the left main coronary artery unprotected by a graft, cardiogenic shock, angiographic visible thrombus within the target lesion, restenosis or total occlusion of the target lesion, life expectancy < 1 year or suspected intolerance to paclitaxel, aspirin, clopidogrel, ticagrelor or prasugrel.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinically driven or ischemia guided target lesion revascularization at 9 months follow up. MACE (for definitions see below) after 9 months • Death • Myocardial infarction (NSTEMI/STEMI) • Stent thrombosis, thrombosis of the target lesion • CABG • TLR • TVR | — |
Secondary
| Measure | Time frame |
|---|---|
| Technical aspects • incidence of needed stenting of the main branch • incidende of needed stenting of the side branch • incidence of final kissing • incidence of pure PCI using drug coated balloons without stenting | — |
Countries
Germany
Contacts
Department of Cardiology, Hetzelstift