Observational studyAnatolian journal of cardiology2025
Adherence to Guideline Recommendations and Clinical Outcomes of Different Stenting Techniques in Non-Left Main Bifurcation Lesions.
Observational study in Anatolian journal of cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Comparison of Different Upfront Two-Stent Strategies for True Coronary Bifurcation Lesions: In-Hospital and 6-Month MACE Results.Journal of clinical medicine · 2026Article
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Authors and funding
26 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPercutaneous coronary intervention (PCI) for coronary bifurcation lesions (CBLs) is a challenging procedure. The optimal stenting technique is still debated. The importance of adherence to current guideline recommendations on clinical outcomes has not yet been clarified. The authors' aim is to investigate the impact of guideline recommendations on clinical outcomes in PCI of CBL.
methodsThis was a retrospective, multicenter, observational registry that enrolled patients with true CBL undergoing PCI with provisional or 2-stent techniques. All techniques were evaluated according to the current guideline recommendations. The primary endpoint of the study was target lesion failure (TLF) as a composite endpoint of target lesion revascularization (TLR), target vessel myocardial infarction (TVMI), and cardiac death.
resultsA total of 1407 patients were enrolled, and the incidence of TLF, TLR, TVMI, and cardiac death were similar in provisional and 2-stent techniques. However, the incidence of TLF was higher in 2-stent (16.1%) compared to provisional (9.1%) if the guideline recommendations were not followed (HR:1.779; 95%CI: 1.187-2.668, P = .005). The incidence of TLF was lower in 2-stent (4.7%) compared to provisional (9.1%) if the guideline recommendations were followed (HR:0.501; 95% CI: 0.306-0.821, P = .005), mainly driven by reduced TLR (8.1% vs. 3.4%) (HR: 0.398; 95% CI: 0.228-0.696, P = .001) and TVMI (4.5% vs. 2.4%) (HR: 0.503; 95% CI: 0.250-1.011, P = .049).
conclusionAdherence to current guideline recommendations is the main determinant of clinical outcomes in the PCI of CBLs rather than the selected techniques.
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