Evidence map›Paper›PMID 32733170›Full record

ArticleJournal of interventional cardiology2020

Clinical Implications of Bifurcation Angles in Left Main Bifurcation Intervention Using a Two-Stent Technique.

You-Jeong Ki, Ji Hyun Jung, Jung-Kyu Han, Sukkeun Hong, Jang Hyun Cho, Hyeon-Cheol Gwon, Sung Yun Lee, Jay Young Rhew, Jei Keon Chae, In-Ho Chae and 5 more

Abstract read
In one paragraph

Article in Journal of interventional cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
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  3. Review
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  8. Observational
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

15 authors.

You-Jeong KiCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.ORCID https://orcid.org/0000-0003-0102-2810
Ji Hyun JungCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.
Jung-Kyu HanCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.ORCID https://orcid.org/0000-0002-0016-0747
Sukkeun HongDivision of Cardiology, Department of Internal Medicine, Sejong General Hospital, Bucheon 14754, Republic of Korea.ORCID https://orcid.org/0000-0001-9054-9459
Jang Hyun ChoDepartment of Internal Medicine, St. Carollo Hospital, Sunchon 57931, Republic of Korea.
Hyeon-Cheol GwonHeart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.
Sung Yun LeeInje University Ilsan Paik Hospital, Goyang 10380, Republic of Korea.
Jay Young RhewDivision of Cardiology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju 54987, Republic of Korea.
Jei Keon ChaeChonbuk National University Hospital, Jeonju 54907, Republic of Korea.
In-Ho ChaeSeoul National University Bundang Hospital, Sungnam 13620, Republic of Korea.
Han-Mo YangCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.
Kyung Woo ParkCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.ORCID https://orcid.org/0000-0003-2432-4432
Hyun-Jae KangCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.
Bon-Kwon KooCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.
Hyo-Soo KimCardiovascular Center, Seoul National University Hospital, Seoul 03080, Republic of Korea.ORCID https://orcid.org/0000-0003-0847-5329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to assess the clinical impact of 3 bifurcation angles in left main (LM) bifurcation treated with the 2-stent technique.

backgroundData are limited regarding the impact of bifurcation angles after LM percutaneous coronary intervention (PCI).

methodsUsing patient-level 4 multicenter registries in Korea, 462 patients undergoing LM bifurcation PCI with the 2-stent technique were identified (181 crush, 167 T-stenting; 63% 1

resultsIn patients treated with the crush technique, the best cutoff value (BCV) to predict TLF was 152° of the LM-LAD angle. In the crush group, a significantly higher TLF rate, mostly driven by TLR, was observed in the LM-LAD angle ≥152° group compared with the <152° group (35.7% vs. 14.6%; adjusted hazard ratio 3.476; 95% confidence interval 1.612-7.492). An LM-LAD angle ≥152° was an independent predictor of TLF. In the T-stenting, no bifurcation angle affected the clinical outcomes.

conclusionsIn LM bifurcation PCI using the 2-stent technique, wide LM-LAD angle (≥152°) was associated with a greater risk of TLF in the crush, whereas none of the bifurcation angles affected T-stenting outcomes.

Indexed as

Coronary Artery DiseaseCoronary RestenosisCoronary VesselsMyocardial InfarctionPercutaneous Coronary InterventionCoronary AngiographyDrug-Eluting StentsFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health Care

Identifiers

PMID32733170
PMCPMC7374237

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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.