AIMS: The substudy was performed to evaluate the acute and eight-month follow-up effect of final kissing balloon dilatation (FKBD) on fractional flow reserve (FFR) in the side branch (SB) after main vessel (MV) stenting. METHODS AND RESULTS: We included 75 patients in the Nordic-Baltic Bifurcation Study III FFR substudy: 42 in the FKBD group and 33 in the no-FKBD group. Complete angiographic and FFR eight-month follow-up was obtained in 25 (60%) patients in the FKBD group and 21 (63%) patients in the no-FKBD group. In the FKBD group the post-PCI mean SB FFR was significantly higher compared to the no-FKBD group (0.92 vs. 0.85, respectively; p=0.011). No significant difference in FFR value between treatments was detected at eight-month follow-up (0.91 vs. 0.87; p=0.19). There were no significant changes in mean SB FFR during the follow-up period (0.92 vs. 0.91; p=0.80) in the FKBD group and (0.87 vs. 0.87; p=0.91) in the no-FKBD group. CONCLUSIONS:FKBD in simple stenting of bifurcation lesions improved acute functional outcome in SB compared to leaving the SB jailed. No significant difference was detected at follow-up. In both groups there was no significant functional late loss during follow-up. Thus, both strategies were equally effective in ensuring that side branch jailing would not cause ischaemia in the long term.
RCT Entities:
AIMS: The substudy was performed to evaluate the acute and eight-month follow-up effect of final kissing balloon dilatation (FKBD) on fractional flow reserve (FFR) in the side branch (SB) after main vessel (MV) stenting. METHODS AND RESULTS: We included 75 patients in the Nordic-Baltic Bifurcation Study III FFR substudy: 42 in the FKBD group and 33 in the no-FKBD group. Complete angiographic and FFR eight-month follow-up was obtained in 25 (60%) patients in the FKBD group and 21 (63%) patients in the no-FKBD group. In the FKBD group the post-PCI mean SB FFR was significantly higher compared to the no-FKBD group (0.92 vs. 0.85, respectively; p=0.011). No significant difference in FFR value between treatments was detected at eight-month follow-up (0.91 vs. 0.87; p=0.19). There were no significant changes in mean SB FFR during the follow-up period (0.92 vs. 0.91; p=0.80) in the FKBD group and (0.87 vs. 0.87; p=0.91) in the no-FKBD group. CONCLUSIONS: FKBD in simple stenting of bifurcation lesions improved acute functional outcome in SB compared to leaving the SB jailed. No significant difference was detected at follow-up. In both groups there was no significant functional late loss during follow-up. Thus, both strategies were equally effective in ensuring that side branch jailing would not cause ischaemia in the long term.
Authors: Martyna Zaleska; Lukasz Koltowski; Jakub Maksym; Aleksandra K Chabior; Aleksandra Pohadajło; Mateusz Soliński; Mariusz Tomaniak; Grzegorz Opolski; Janusz Kochman Journal: Postepy Kardiol Interwencyjnej Date: 2019-09-18 Impact factor: 1.426
Authors: Kranthi K Kolli; Sun-Joo Jang; Abdul Zahid; Alexandre Caprio; Seyedhamidreza Alaie; Amir Ali Amiri Moghadam; Patricia Xu; Robert Shepherd; Bobak Mosadegh; Simon Dunham Journal: Front Cardiovasc Med Date: 2022-06-30
Authors: K Gert van Houwelingen; Liefke C van der Heijden; Ming Kai Lam; Marlies M Kok; Marije M Löwik; J W Louwerenburg; Gerard C M Linssen; Maarten J IJzerman; Carine J M Doggen; Clemens von Birgelen Journal: Heart Vessels Date: 2016-01-08 Impact factor: 2.037