Evidence map›Paper›PMID 25515667›Full record

Observational studyHeart and vessels2016

DK mini-culotte stenting in the treatment of true coronary bifurcation lesions: a propensity score matching comparison with T-provisional stenting.

Lin Fan, Lianglong Chen, Yukun Luo, Linlin Zhang, Wenliang Zhong, Chaogui Lin, Zhaoyang Chen, Yafei Peng, Xingchun Zhen, Xianfeng Dong

Abstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Heart and vessels, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Optimizing Culotte Technique With Double Kissing Balloon Inflation.Journal of cardiovascular translational research · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Percutaneous coronary intervention of bifurcation lesions.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lin FanDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China. rickfan7587@hotmail.com.
Lianglong ChenDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China. lianglongchen@126.com.
Yukun LuoDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Linlin ZhangDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Wenliang ZhongDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Chaogui LinDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Zhaoyang ChenDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Yafei PengDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Xingchun ZhenDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.
Xianfeng DongDepartment of Cardiology, Union Hospital, Fujian Medical University, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The conventional culotte technique remains not to be widely used for the treatment of coronary bifurcation lesions due to its inherent drawbacks. Here, we developed a double kissing mini-culotte stenting (DK mini-culotte) and assessed its efficacy and safety by a propensity score matching comparison (PSM) with T-provisional stenting. From June 2010 to June 2012, a total of 223 consecutive patients with true coronary bifurcation lesions (TCBLs) were treated with DK mini-culotte (91 patients with 92 lesions) or T-provisional stenting (132 patients with 135 lesions). We performed a PSM to correct the confounders from clinical and lesion's characteristics. The primary endpoint was cumulative major adverse cardiac event (MACE) at 1 year including cardiac death, myocardial infarction, and target vessel revascularization or target lesion revascularization (TVR/TLR). The secondary endpoint was the rate of side branch (SB) restenosis at 12 months. After a PSM, there were 66 patients in each group. Additional SB stenting in the T-provisional group was performed in 10 (15.2 %) lesions. The incidence of 1-year cumulative MACE was 4.55 % for the DK mini-culotte versus 13.6 % for T-provisional stenting (P = 0.127), the rate of TVR/TLR was 1.52 % for DK mini-culotte versus 12.12 % for T-provisional stenting (P = 0.033). The SB binary restenosis rate was 5.6 % in the DK mini-culotte group and 22.4 % in the T-provisional group (P = 0.014). In summary, despite that there is no difference in MACE between groups, DK mini-culotte significantly reduce TVR/TLR and SB restenosis in the treatment of true coronary bifurcation lesions.

Indexed as

StentsAgedChi-Square DistributionCoronary AngiographyCoronary Artery DiseaseCoronary RestenosisFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedMyocardial InfarctionPercutaneous Coronary InterventionPropensity ScoreProspective StudiesCoronary bifurcation lesionsDK mini-culottePercutaneous coronary interventionT-provisional stenting

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.