Corrected Bifurcation Angle versus Distal Bifurcation Angle for Prediction of Side Branch Compromise after Provisional Bifurcation Coronary Intervention

Faculty Medicine Year: 2020
Type of Publication: ZU Hosted Pages:
Authors:
Journal: La Prensa Medica Argentina La Prensa Medica Argentina Volume:
Keywords : Corrected Bifurcation Angle versus Distal Bifurcation    
Abstract:
Provisional bifurcation percutaneous coronary intervention (PCI) is recommended over two stent strategy but with the risk of side branch (SB) compromise. Prediction SB compromise is crucial for optimizing of the procedure outcome. Neglecting the proximal bifurcation angle (BA), the distal BA was presented as a reliable predictor of SB compromise supposing that the main vessel is always a straight vessel. However, its impact on the fate of side branch is debated. This study aims to compare between of the corrected BA, the sum of proximal and distal BAs, and the distal BA in terms of prediction of SB compromise. This prospective cohort study was conducted in Zagazig university hospitals in the duration between March 2019 and March 2020, and involved 185 patients who underwent provisional bifurcation PCI. Patients were divided according to the corrected BA into two groups; straight bifurcation model group which involved 73 patients with corrected BA = 180°, and wide bifurcation model group which involved 112 patients with corrected BA > 180°. Compared to the wide bifurcation model, the incidence of SB compromise was substantially higher in the straight bifurcation model (52.1% vs. 15.2%; P < 0.001). The corrected BA had a better area under the curve compared to the distal BA with statistically significant difference (0.711 vs. 0.580; P = 0.023). Multivariate analysis demonstrated that the corrected BA was among the independent predictors of SB compromise. The study concluded that the corrected BA could be a novel strong predictor of SB compromise after provisional bifurcation PCI for future verification
   
     
 
       

Author Related Publications

  • Mohamed Safwat Abdel Dayem, "Relation of Left Atrial Stiffness to Insulin Resistance in Obese Children: Doppler Strain Imaging Study", © 2014, Wiley Periodicals, Inc, 2014 More
  • Mohamed Safwat Abdel Dayem, "Blood Pressure Variability and Atrial Fibrillation in Patients with Acute ST Segment Elevation Myocardial Infarction: The Relation with Left Atrial Electromechanical Delay - A 1-Year Follow-Up Study", © 2020 S. Karger AG, Base, 2020 More
  • Mohamed Safwat Abdel Dayem, "Protective Effect of Geraniol on Oxidative, Inflammatory and Apoptotic Alterations in Isoproterenol-Induced Cardiotoxicity: Role of the Keap1/Nrf2/HO-1 and PI3K/Akt/mTOR Pathways", doi.org/10.3390/antiox9100977, 2020 More
  • Mohamed Safwat Abdel Dayem, "The interplay between atrial fibrillation and acute myocardial infarction", Br J Hosp Med (Lond), 2021 More
  • Mohamed Safwat Abdel Dayem, "Cardioprotective Effect of Linalool against Isoproterenol-Induced Myocardial Infarction", 10.3390/life11020120, 2021 More

Department Related Publications

  • Ragab Abdelsalam Mahfouz, "Cardiac Syndrome-X: Is it Benign or Malignant? An Egyptian Follow-up study", ROSS scientific Publisher- Open Journal of Cardiology, 2011 More
  • Ragab Abdelsalam Mahfouz, "Endothelial-Mediated Coronary Flow Reserve and Its Relation to Mitral Annular Tissue Doppler Velocities in Offspring of Hypertensive Parents", Wiley Periodicals, Inc- Echocardiography, 2011 More
  • Mohammed Abdullah Al- Mahmoud Altahlaoy, "Impact of Sodium-Glucose Cotransporter-2 Inhibitors on Cardiovascular Function and Residual Kidney Function in Haemodialysis Patients: A Three-Month Follow-Up", Springer Nature, 2025 More
  • Yasser Gaber Ibrahim Metwally, "The relationship between Coronary Artery Severity Versus Insulin Resistance in patients with impaired Glucose Tolerance and Metabolic Syndrome.", Springer nature, 2020 More
Tweet