TY - JOUR
T1 - Carina Bifurcation Angle and Side Branch Occlusion in Coronary Bifurcation Lesions Intervention
T2 - Angiographic Lesions Characteristic Role in Determining Its Relation
AU - Palinggi, Bogie Putra
AU - Firman, Doni
PY - 2019/6/2
Y1 - 2019/6/2
N2 - Side branch occlusion has been implicated as a complication after percutaneous coronary intervention in coronary bifurcation lesions. The role of carina bifurcation angle as one of the characteristics of the coronary bifurcation lesions in causing side branch occlusion after percutaneous coronary intervention is still debated. This study aims to assess the correlation between carina bifurcation angles as one of the characteristics of the coronary bifurcation lesions and side branch occlusion in elective percutaneous coronary intervention. This is a cross-sectional study which utilizes CAAS 5.1 software to measure carina bifurcation angle. We collected 113 lesions in 108 patients that met the inclusion criteria from January 2016 to October 2016. Side branch occlusion occurred in 15 lesions (13.3%), with median carina bifurcation angle 19.17 degrees (p < 0.001). Multivariate analysis showed there is a correlation between carina bifurcation angle with side branch occlusion, OR (odds ratio) 0.86 (95% CI [confidence interval]: 0.80-0.92) with ≤ 33.71 degrees cut off value. Increased risk of side branch occlusion was found in small carina bifurcation angle.
AB - Side branch occlusion has been implicated as a complication after percutaneous coronary intervention in coronary bifurcation lesions. The role of carina bifurcation angle as one of the characteristics of the coronary bifurcation lesions in causing side branch occlusion after percutaneous coronary intervention is still debated. This study aims to assess the correlation between carina bifurcation angles as one of the characteristics of the coronary bifurcation lesions and side branch occlusion in elective percutaneous coronary intervention. This is a cross-sectional study which utilizes CAAS 5.1 software to measure carina bifurcation angle. We collected 113 lesions in 108 patients that met the inclusion criteria from January 2016 to October 2016. Side branch occlusion occurred in 15 lesions (13.3%), with median carina bifurcation angle 19.17 degrees (p < 0.001). Multivariate analysis showed there is a correlation between carina bifurcation angle with side branch occlusion, OR (odds ratio) 0.86 (95% CI [confidence interval]: 0.80-0.92) with ≤ 33.71 degrees cut off value. Increased risk of side branch occlusion was found in small carina bifurcation angle.
KW - atheromatous plaque
KW - Carina bifurcation angle
KW - carina shifting
KW - coronary bifurcation lesions
KW - elective percutaneous coronary intervention
KW - plaque shifting
KW - side branch occlusion
UR - http://www.scopus.com/inward/record.url?scp=85070275802&partnerID=8YFLogxK
U2 - 10.1055/s-0038-1676042
DO - 10.1055/s-0038-1676042
M3 - Article
AN - SCOPUS:85070275802
VL - 28
SP - 137
EP - 141
JO - International Journal of Angiology
JF - International Journal of Angiology
SN - 1061-1711
IS - 2
ER -