Comparison of Different Side Branch Ballooning Following Provisional Stenting in Coronary Bifurcation Lesion-Related STEMI

Akman, Cemalettin; GÜNER, Ahmet; ZEHİR, Regayip; Şimşek, Barış; ÖZ, Ahmet; Yemiş, Mustafa; ERDÖL, Mehmet; Serin, Ebru; Tanık, Veysel; Keten, Mustafa; Çelik, Ezgi; Serter, Berkay; Çörekçioğlu, Büşra; Gökçe, Kaan; Çiloğlu, Koray; Doğan, Abdullah; Güner, Ezgi; Gök, Saner; Nural, Ali; Cebeci, Ahmet; Kılınç, Ali; Apaydın, Ziya; Dolu, Abdullah; Sarı, Mustafa; Evlice, Mert; Paçacı, Emre; ZENCİRKIRAN AĞUŞ, Hicaz; Kaya, Azmican; Demirci, Koray; Şimşek, Aybüke; Bedir, Fatih; Yılmaz, Yusuf; Özel, Adnan; Karakaya, Esin; Öztürk, Ali; Uysal, Hande; Çakal, Sinem; KESKİN, Kudret; YALÇIN, Ahmet; UZUN, Fatih

doi:10.1177/00033197251390099

Comparison of Different Side Branch Ballooning Following Provisional Stenting in Coronary Bifurcation Lesion-Related STEMI

Akman C., GÜNER A., ZEHİR R., Şimşek B., ÖZ A., Yemiş M. K., ...Daha Fazla

Angiology, cilt.77, sa.9, ss.1151-1160, 2026 (SCI-Expanded, Scopus)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 77 Sayı: 9
Basım Tarihi: 2026
Doi Numarası: 10.1177/00033197251390099
Dergi Adı: Angiology
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE
Sayfa Sayıları: ss.1151-1160
Anahtar Kelimeler: coronary bifurcation, major adverse cardiac events, myocardial infarction, proximal optimization technique, provisional stenting
Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

The present study retrospectively assessed clinical outcomes of proximal optimization technique (POT)-kissing-POT (PKP) and POT-side-POT (PSP) in ST-segment elevation myocardial infarction (STEMI) patients with culprit coronary bifurcation lesion (CBL) following a provisional stenting (PS). This large-scale multicenter (n = 10) study included STEMI patients with culprit CBLs who underwent PKP or PSP following PS. The primary endpoint was defined as the major adverse cardiac events (MACE; cardiac death, target vessel myocardial infarction [TVMI], or clinically driven target lesion revascularization [TLR]). Consecutive patients (n = 596; male: 491 [82.3%], mean age: 58.1 ± 11.7 years) were included. The study cohort was divided into 2 groups: PKP (n = 386) and PSP (n = 210). In the overall population, mid-term MACE (hazard ratio [HR]: 0.921, P = .461) did not differ in individuals with CBL-related STEMI treated with either PKP or PSP. The frequency of main vessel-TLR (0% vs 30%, P = .001) and main vessel-TVMI (0% vs 20%, P = .014) were significantly lower in the PKP group in the left main bifurcation localization. Diabetes mellitus (HR: 2.628, P < .001), high SYNTAX score (HR: 1.081, P < .001), and bifurcation localization (HR: 2.109, P = .014) were found to be independent predictors of MACE. In the overall population, risk-adjusted MACE rates for culprit CBLs were comparable between both techniques.