Intravascular Ultrasound Predictors of Side Branch Occlusion in Bifurcation Lesions After Percutaneous Coronary Intervention
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概要
- 論文の詳細を見る
Background Percutaneous coronary intervention (PCI) of bifurcation lesion has been associated with a low success rate and a high incidence of procedural complications, including side branch occlusion and myocardial infarction. It remains controversial whether preintervention intravascular ultrasound (IVUS) findings can help to identify side branches likely to occlude after PCI of bifurcation lesions. Methods and Results From our IVUS database we identified 81 bifurcation lesions in 72 patients. Side branches were classified into 2 groups : group 1 had ostial side branch stenosis due to atherosclerotic plaque only in the main vessel (n=61), and group 2 had plaque truly involved in the side branch ostium (n=20). There was no significant difference between the 2 groups in the extent of ostial stenosis as assessed by angiography. After PCI, 7 side branches occluded in group 2, compared with 5 side branches occluded in group 1 (35% vs 8%, p=0.003). Conclusion Ostial plaque distribution as assessed by IVUS may be one of the consistent predictors of side branch occlusion after PCI.
- 社団法人日本循環器学会の論文
- 2005-02-20
著者
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Kimura Kazuo
Cardiovascular center, Yokohama City University School of Medcine
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Kosuge Masami
Cardiovascular center, Yokohama City University School of Medcine
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Hibi Kiyoshi
Cardiovascular center, Yokohama City University School of Medcine
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Okuda Jun
Cardiovascular Center, Yokohama City University Medical Center
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Tahara Yoshio
Cardiovascular Center, Yokohama City University Medical Center
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Umemura Satoshi
Second Department of Internal Medicine, Yokohama City University Hospital
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Nakati Tatsuya
横浜市立大学附属市民総合医療センター 心臓血管センター
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Tahara Yoshio
Sos-kanto Pcps Study Group
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Endo Tsutomu
Department Of Cardiology Saiseikai Yokohama Nanbu Hospital
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Takamura Takeshi
Department Of Cardiology Fujisawa Shounandai Hospital
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Sugano Teruyasu
Department Of Medical Science And Cardiorenal Medicine Yokohama City University School Of Medicine
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Takamizawa Tetsu
Division Of Cardiology Fujisawa City Hospital
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Tsukahara Kengo
Cardiovvascular Center, Yokohama City University School of Medicine
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Minami Kazutoshi
Yokohama City University Medical Center
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Kohagura Kentaro
琉球大学 第三内科
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Nakachi Tatsuya
横浜市立大学 心臓血管セ
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Takamizawa Tetsu
Department Of Cardiology Fujisawa Municipal Hospital
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Umemura Satoshi
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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Nagura Toshihiro
Division Of Cardiology Kanagawa Cardiovascular And Respiratory Center
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Takahashi N
Department Of Pediatric Cardiology Yokohama City University School Of Medicine
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Furukawa Eri
Cardiovascular Division, Yokohama City University Medical Center
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Nakatogawa Tomoyori
Cardiovascular Division, Yokohama City University Medical Center
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Toda Noritaka
Cardiovascular Division, Yokohama City University Medical Center
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Takamura Takeshi
Cardiovascular Division, Yokohama City University Medical Center
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Ootsuka Fumiyuki
Cardiovascular Division, Yokohama City University Medical Center
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Sugano Teruyasu
Cardiovascular Division, Yokohama City University Medical Center
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Endo Tsutomu
Cardiovascular Division, Yokohama City University Medical Center
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Furukawa Eri
Division of Cardiology, Yokohama City University Medical Center
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Takahashi Nobukazu
Department Of Radiology Graduate School Of Medicine Yokohama City University
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Nakagawa Takeshi
Department Of Radiology Yokohama City University School Of Medicine
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Takahashi Nobukazu
Department Of Radiology Yokohama City University School Of Medicine
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Furukawa Eri
Cardiovascular Division Yokohama City University Medical Center
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Kikuchi Miyako
Yokohama City University School Of Medicine Cardiovascular Center
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Kimura Kazuo
Cardiac Division Department Of Internal Medicine National Cardiovascular Center
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Nishizawa Takashi
Department Of Pediatrics Yokohama City University Medical Center
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Toda Noritaka
Cardiovascular Division Yokohama City University Medical Center
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Minamizawa Kousuke
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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Kimura Kazuo
Cardiac Division Department Of Internal Medicine National Cardio-vascular Center
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