True bifurcation lesions (TBLs) are not rare clinical conditions and may be associated with adverse cardiovascular outcomes due to their complex anatomy and the variety of interventional therapy. Although the provisional stenting is still effective in suitable lesions, double stent techniques can be required in selected patients. In previous studies, double kissing crush (DK-crush) stenting was revealed as superior to provisional stenting in TBL of left main coronary artery. Additionally, in recent studies, double kissing approach facilitates and highlights double kissing culotte (DK-culotte) stenting with lower stent malapposition compared to DK-crush stenting. However, to the best of our knowledge, there is no study about comparing DK-crush and DK-culotte stenting in TBLs. Our aim in this study is to compare DK-crush and DK-culotte stenting in patients with TBL.
Study Type
OBSERVATIONAL
Enrollment
200
Patients with true bifurcation lesion treating with double kissing crsuh stenting technique
Patients with true bifurcation lesion treating with double kissing culotte stenting technique
Istanbul Mehmet Akif Ersoy Training and Research Hospital
Istanbul, Turkey (Türkiye)
MACE (major adverse cardiovascular events)
target vessel revascularization, myocardial infarction and cardiac death
Time frame: 12 months
MACCEs (major adverse cerebral and cardiovascular events)
all cause death, myocardial infarction, target lesion revascularization, target lesion revascularization, in-stent thrombosis and/or restenosis, stroke
Time frame: 12, 24, 36 months
target lesion failure
myocardial infarction, cardiac death
Time frame: 24, 36 months
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