Evidence map›Paper›PMID 34430704›Full record

ArticleInternational journal of cardiology. Heart & vasculature2021

Percutaneous coronary intervention in side branch coronary arteries: Insights from the Japanese nationwide registry.

Yoshinobu Murasato, Kyohei Yamaji, Shun Kohsaka, Hideki Wada, Hideki Ishii, Yoshihisa Kinoshita, Junya Shite, Yutaka Hikichi, Tetsuya Amano, Yuji Ikari

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. A wide-angle lens to focus on coronary bifurcational lesions.International journal of cardiology. Heart & vasculature · 2022
    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 at 9 institutions in 1 country.

Yoshinobu MurasatoDepartment of Cardiology and Clinical Research Center, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Kyohei YamajiDepartment of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
Shun KohsakaDepartment of Cardiology, Keio University, Tokyo, Japan.
Hideki WadaDepartment of Cardiovascular Medicine, Juntendo University Shizuoka Hospital, Izunokuni, Japan.
Hideki IshiiDepartment of Cardiology, Fujita Health University Bantane Hospital, Nagoya, Japan.
Yoshihisa KinoshitaDepartment of Cardiology, Toyohashi Heart Center, Toyohashi, Japan.
Junya ShiteDepartment of Cardiology, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
Yutaka HikichiDepartment of Cardiology, Saga Prefectural Hospital Koseikan, Saga, Japan.
Tetsuya AmanoDepartment of Cardiology, Aichi Medical University, Nagakute, Japan.
Yuji IkariDepartment of Cardiovascular Medicine, Tokai University, Isehara, Japan.
Aichi Medical University · JPFujita Health University Hospital · JPJuntendo University Shizuoka Hospital · JPKeio University · JPKokura Memorial Hospital · JPNational Kyushu Medical Center · JPSaiseikai Nakatsu Hospital · JPTokai University · JPToyohashi Heart Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerformance of percutaneous coronary intervention (PCI) in side-branch vessels (SB-PCI) has not been fully investigated despite the technical advancement of PCI.

methodsWe investigated 257,492 patients registered in the Japanese nationwide PCI registry from January to December 2018; 199,767 (78%) underwent PCI for major vessel PCI (MV-PCI), 21,555 (8.4%) underwent SB-PCI, and 24,862 (9.6%) underwent PCI for both vessels (SB + MV-PCI). The frequencies of primary composite adverse events, defined as in-hospital mortality and procedural complications (i.e.,

resultsFewer drug-eluting stents (66% vs. 86%) and more drug-coated balloons (23% vs. 9%) were used in SB-PCI than in MV-PCI (p < 0.001). Pre-procedure non-invasive testing was similarly performed in SB-PCI and MV-PCI (57% vs. 61%). The composite endpoint was observed in 0.7%, 1.9%, and 2.2% of the SB-PCI, SB + MV-PCI, and MV-PCI groups, respectively (p < 0.001). Institutional frequency of SB-PCI was inversely associated with the composite-endpoint risk for all PCI procedures (odds ratio 1.37, 95% confidence interval 1.04-1.81 in the lowest tertile, with reference to the middle tertile, p = 0.02). Frequency of PCI for restenotic lesions was also inversely associated with the institutional frequency of MV-PCI (p < 0.001).

conclusionSB-PCI was performed safely with a low frequency of acute complications, and higher SB-PCI frequency presented a lower risk of in-hospital adverse events, albeit with a cost of an increase in PCI for restenotic lesions.

Indexed as

ComplicationsCoronary artery diseasePercutaneous coronary interventionSide branch

Identifiers

PMID34430704
PMCPMC8374521
OpenAlexW3194085889

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.