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Predictors of 1- and 12-month mortality in bifurcation coronary intervention: a contemporary perspective

Protty, Majd B, Valenzuela, Tom, Sharaf, Ahmed, Shome, Joy, Hasan, Saad, Chase, Alexander, UlHaq, Zia, Ionescu, Adrian, Khurana, Ayush, Jenkins, Geraint, Obaid, Daniel R, Choudhury, Anirban and Hailan, Ahmed 2023. Predictors of 1- and 12-month mortality in bifurcation coronary intervention: a contemporary perspective. Future Cardiology 10.2217/fca-2023-0058

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Abstract

Aim: Bifurcation-PCI is performed frequently, although without extensive evidence to back up a definitive solution for its complexity. We set out to identify factors associated with 1- and 12-month mortality after bifurcation-PCI between 2017 and 2021 in our tertiary centre in Wales, UK. Results: Of 732 bifurcation PCI cases (mean age 69; 25% female), 67% were in ACS, 42% were left main PCI and 25.3% involved two-stent strategy. 30-day and 12-month mortality were 1.9% and 8.2%, respectively. Age, diabetes, smoking and renal failure are associated with mortality after bifurcation-PCI, while the choice between provisional and 2-stent strategies did not impact mortality/TLR. Conclusion: Awareness of ‘real-world’ outcomes of bifurcation-PCI should be used for appropriate patient selection, technique planning and procedural consent.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Additional Information: License information from Publisher: LICENSE 1: URL: https://www.future-science-group.com/archiving, Start Date: 2024-07-14
Publisher: Future Science Group
ISSN: 1479-6678
Date of First Compliant Deposit: 17 July 2023
Date of Acceptance: 23 June 2023
Last Modified: 18 Jul 2023 13:23
URI: https://orca.cardiff.ac.uk/id/eprint/161064

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