Major limitations of randomized clinical trials involving coronary artery bifurcation interventions: Time for redesigning clinical trials by involving only true bifurcation lesions and using appropriate bifurcation classification

Journal of Interventional Cardiology

Volumn 24, Issue 4, 2011, Pages 295-301

  Movahed, Mohammad Reza ^a  

^a UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PRACTICE; CORONARY ARTERY; CORONARY ARTERY BIFURCATION; CORONARY ARTERY BIFURCATION DISEASE; CORONARY ARTERY DISEASE; CORONARY STENT; CRUSH STENTING TECHNIQUE; CULOTTE STENTING TECHNIQUE; DISEASE CLASSIFICATION; DRUG ELUTING STENT; HUMAN; INTERMETHOD COMPARISON; INTERVENTIONAL CARDIOVASCULAR PROCEDURE; KISSING STENT TECHNIQUE; MINI CRUSH STENTING TECHNIQUE; PERCUTANEOUS CORONARY INTERVENTION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RISK FACTOR; T STENTING TECHNIQUE; TECHNIQUE; TREATMENT FAILURE;

ANGIOPLASTY, BALLOON, CORONARY; BLOOD VESSEL PROSTHESIS IMPLANTATION; CORONARY ARTERY DISEASE; HUMANS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RESEARCH DESIGN; STENTS;

EID: 80051548809     PISSN: 08964327     EISSN: 15408183     Source Type: Journal    
DOI: 10.1111/j.1540-8183.2011.00631.x     Document Type: Article

References (36)

1. Al Suwaidi J, Berger PB, Rihal CS, et al,. Immediate and long-term outcome of intracoronary stent implantation for true bifurcation lesions. J Am Coll Cardiol 2000; 35: 929-936. (Pubitemid 30189924)
2. Movahed MR,. Coronary artery bifurcation lesion classifications, interventional techniques and clinical outcome. Expert Rev Cardiovasc Ther 2008; 6: 261-274. (Pubitemid 351372591)
3. Vigna C, Biondi-Zoccai G, Amico CM, et al,. Provisional T-drug-eluting stenting technique for the treatment of bifurcation lesions: Clinical, myocardial scintigraphy and (late) coronary angiographic results. J Invasive Cardiol 2007; 19: 92-97. (Pubitemid 46362788)
4. Jim MH, Ho HH, Chan AO, et al,. Stenting of coronary bifurcation lesions by using modified crush technique with double kissing balloon inflation (sleeve technique): Immediate procedure result and short-term clinical outcomes. Catheter Cardiovasc Interv 2007; 69: 969-975. (Pubitemid 46897931)
5. Iakovou I, Schmidt T, Bonizzoni E, et al,. Incidence, predictors, and outcome of thrombosis after successful implantation of drug-eluting stents. JAMA 2005; 293: 2126-2130. (Pubitemid 40617065)
6. Lefevre T, Louvard Y, Morice MC, et al,. Stenting of bifurcation lesions: Classification, treatments, and results. Catheter Cardiovasc Interv 2000; 49: 274-283. (Pubitemid 30133517)
7. Movahed MR, Vu J, Ahsan C,. Simultaneous subacute stent thrombosis of two drug-eluting stents in the left anterior descending and the circumflex coronary arteries. Case report and review of the literature. J Invasive Cardiol 2006; 18: E198-E202. (Pubitemid 44014119)
8. Ormiston JA, Currie E, Webster MW, et al,. Drug-eluting stents for coronary bifurcations: Insights into the crush technique. Catheter Cardiovasc Interv 2004; 63: 332-336. (Pubitemid 39491406)
9. Colombo A, Moses JW, Morice MC, et al,. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation 2004; 109: 1244-1249. (Pubitemid 38372783)
10. Pan M, de Lezo JS, Medina A, et al,. Rapamycin-eluting stents for the treatment of bifurcated coronary lesions: A randomized comparison of a simple versus complex strategy. Am Heart J 2004; 148: 857-864.
11. Steigen TK, Maeng M, Wiseth R, et al,. Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: The Nordic bifurcation study. Circulation 2006; 114: 1955-1961. (Pubitemid 44665390)
12. Ferenc M, Gick M, Kienzle RP, et al,. Randomized trial on routine vs. provisional T-stenting in the treatment of de novo coronary bifurcation lesions. Eur Heart J 2008; 29: 2859-2867.
13. Colombo A, Bramucci E, Sacca S, et al,. Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations: The CACTUS (coronary bifurcations: Application of the crushing technique using sirolimus-eluting stents) Study. Circulation 2009; 119: 71-78.
14. Hildick-Smith D, de Belder AJ, Cooter N, et al,. Randomized trial of simple versus complex drug-eluting stenting for bifurcation lesions: The British Bifurcation Coronary Study: Old, new, and evolving strategies. Circulation 2010; 121: 1235-1243.
15. Popma JJ, Leon MB, EJ T,. Atlas of Interventional Cardiology. Philadelphia: WB Saunders, 1994.
16. Safian RD,. Bifurcation lesions. ManInterv Cardiol 2001; 222.
17. Spokojny AM, TM S,. Strategic Approaches in Coronary Intervention. Philadelphia: Williams and Wilkins, 1996, p. 88.
18. Melikian N, Airoldi F, Di Mario C,. Coronary bifurcation stenting. Current techniques, outcome and possible future developments. Minerva Cardioangiol 2004; 52: 365-378. (Pubitemid 39457518)
19. Movahed MR, Stinis CT,. A new proposed simplified classification of coronary artery bifurcation lesions and bifurcation interventional techniques. J Invasive Cardiol 2006; 18: 199-204. (Pubitemid 44576069)
20. Zhang F, Dong L, Ge J,. Simple versus complex stenting strategy for coronary artery bifurcation lesions in the drug-eluting stent era: A meta-analysis of randomised trials. Heart 2009; 95: 1676-1681.
21. Palmerini T, Marzocchi A, Tamburino C, et al,. Impact of bifurcation technique on 2-year clinical outcomes in 773 patients with distal unprotected left main coronary artery stenosis treated with drug-eluting stents. Circ Cardiovasc Interv 2008; 1: 185-192.
22. Hakeem A, Khan FM, Bhatti S, et al,. Provisional vs. complex stenting strategy for coronary bifurcation lesions: Meta-analysis of randomized trials. J Invasive Cardiol 2009; 21: 589-595.
23. Brar SS, Gray WA, Dangas G, et al,. Bifurcation stenting with drug-eluting stents: A systematic review and meta-analysis of randomised trials. EuroIntervention 2009; 5: 475-484.
24. Sheiban I, Infantino VA, Colombo F, et al,. Very long-term results comparing a simple versus a complex stenting strategy in the treatment of coronary bifurcation lesions. Catheter Cardiovasc Interv 2009; 74: 313-320.
25. Katritsis DG, Siontis GC, Ioannidis JP,. Double versus single stenting for coronary bifurcation lesions: A meta-analysis. Circ Cardiovasc Interv 2009; 2: 409-415.
26. Movahed MR,. Re.: Provisional vs. complex stenting strategy for coronary bifurcation lesions: Meta-analysis of randomized trials. J Invasive Cardiol 2010; 22: 148-149.
27. Movahed MR,. What we should know about bifurcation disease. JACC Cardiovasc Interv 2008; 1: 595-596; author reply 6.
28. Movahed MR,. Letter by Movahed regarding article, "Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations: The CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents) Study. Circulation 2009; 120: e63.
29. Movahed MR, Kern K, Thai H, et al,. Coronary artery bifurcation lesions: A review and update on classification and interventional techniques. Cardiovasc Revasc Med 2008; 9: 263-268.
30. Movahed MR,. Is it time to consider the Movahed classification as the preferred classification for coronary bifurcation lesions? EuroIntervention 2010; 5: 652-653.
31. Dzavik V, Kharbanda R, Ivanov J, et al,. Predictors of long-term outcome after crush stenting of coronary bifurcation lesions: Importance of the bifurcation angle. Am Heart J 2006; 152: 762-769. (Pubitemid 44396889)
32. Tan K, Sulke N, Taub N, et al,. Clinical and lesion morphologic determinants of coronary angioplasty success and complications: Current experience. J Am Coll Cardiol 1995; 25: 855-865.
33. Aliabadi D, Tilli FV, Bowers TR, et al,. Incidence and angiographic predictors of side branch occlusion following high-pressure intracoronary stenting. Am J Cardiol 1997; 80: 994-997. (Pubitemid 27459196)
34. Sharma SK, Choudhury A, Lee J, et al,. Simultaneous kissing stents (SKS) technique for treating bifurcation lesions in medium-to-large size coronary arteries. Am J Cardiol 2004; 94: 913-917. (Pubitemid 39349556)
35. Doi H, Maehara A, Mintz GS, et al,. Serial intravascular ultrasound analysis of bifurcation lesions treated using the novel self-expanding sideguard side branch stent. Am J Cardiol 2009; 104: 1216-1221.
36. Movahed MR,. Studies involving coronary bifurcation interventions should utilize the most comprehensive and technically relevant Movahed coronary bifurcation classification for better communication and accuracy. Am J Cardiol 2010; 105: 1204-1205.