Evidence map›Paper›PMID 36233526›Full record

ArticleJournal of clinical medicine2022

Effect of Stenting Strategy on the Outcome in Patients with Non-Left Main Bifurcation Lesions.

Yongwhan Lim, Min Chul Kim, Youngkeun Ahn, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Myung Ho Jeong, Hyeon-Cheol Gwon, Hyo-Soo Kim, Seung Woon Rha and 4 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Special Issue "Coronary Artery Disease Interventions".Journal of clinical medicine · 2024
    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

14 authors.

Yongwhan LimDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.ORCID 0000-0002-2405-1676
Min Chul KimDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Youngkeun AhnDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Doo Sun SimDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Young Joon HongDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Ju Han KimDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Myung Ho JeongDepartment of Cardiology, Chonnam National University School of Medicine, Chonnam National University Hospital, Gwangju 61469, Korea.
Hyeon-Cheol GwonDivision of Cardiology, Department of Internal Medicine, Samsung Medical Center, Seoul 06351, Korea.
Hyo-Soo KimDivision of Cardiology, Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea.
Seung Woon RhaDivision of Cardiology, Department of Internal Medicine, Korea University Guro Hospital, Seoul 08308, Korea.
Jung Han YoonDivision of Cardiology, Department of Internal Medicine, Wonju Christian Hospital, Wonju 22070, Korea.ORCID 0000-0002-3363-2675
Yangsoo JangDivision of Cardiology, Department of Internal Medicine, Yonsei University Severance Hospital, Seoul 03722, Korea.ORCID 0000-0002-2169-3112
Seung-Jea TahkDivision of Cardiology, Department of Internal Medicine, Ajou University Hospital, Suwon 16499, Korea.ORCID 0000-0001-6521-178X
Ki Bae SeungDivision of Cardiology, Department of Internal Medicine, Catholic University Kangnam, St. Mary's Hospital, Seoul 06591, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have not compared outcomes between different percutaneous coronary intervention (PCI) strategies and lesion locations in non-left main (LM) bifurcation lesions. We enrolled 2044 patients from a multicenter registry with an LAD bifurcation lesion (n = 1551) or non-LAD bifurcation lesion (n = 493). The primary outcome was target lesion failure (TLF), a composite of cardiac death, myocardial infarction, and target lesion revascularization (TLR). During a median follow-up period of 38 months, non-LAD bifurcation lesions treated with the two-stent strategy, compared with the one-stent strategy, were associated with more frequent TLF (20.7% vs. 6.3%, p < 0.01), TLR (16.7% vs. 4.7%, p < 0.01), and target vessel revascularization (TVR; 18.2% vs. 6.3%, p < 0.01). There was no significant difference in outcome among LAD bifurcation lesions treated with different PCI strategies. The two-stent strategy was associated with a higher risk of TLF (adjusted HR 4.34, CI 1.93−9.76, p < 0.01), TLR (adjusted HR 4.30, CI 1.64−11.27, p < 0.01), and TVR (adjusted HR 5.07, CI 1.69−9.74, p < 0.01) in the non-LAD bifurcation lesions. The planned one-stent strategy is preferable to the two-stent strategy for the treatment of non-LAD bifurcation lesions.

Indexed as

Bifurcationelective two stentnon-left main bifurcationpercutaneous coronary interventionprovisional one-stent

Identifiers

PMID36233526
PMCPMC9571815

What OpenQuestion holds

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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.