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Could we predict the side branch compromise during provisional bifurcation coronary intervention? A prospective cohort study
Faculty
Medicine
Year:
2020
Type of Publication:
ZU Hosted
Pages:
Authors:
Mohammed Ibrahim Amin Ibrahim Musa
Staff Zu Site
Abstract In Staff Site
Journal:
Kuwait Medical journal Kuwait Medical journal
Volume:
Keywords :
Could , predict , side branch compromise during
Abstract:
Objectives: To evaluate the potential angiographic predictors of side branch (SB) compromise after - provisional bifurcational coronary intervention in the form of main vessel stenting. Design: Prospective cohort study. Setting: Our study was conducted between June 2018 and February 2020 in the Zagazig university hospitals catheter unit. Subjects: We included 200 patients with 200 bifurcation coronary lesions who underwent provisional main vessel stenting. Interventions: Two separate cardiologists checked coronary angiography and intervention films for potential predictors of side branch (SB) compromise including the corrected bifurcat ion angle (BA) which is the sum of proximal and distal bifurcation angles. Main outcome measures: We checked all patients for SB compromise in the form of decrease in thrombolysis in myocardial infarction grade or increase in the percentage of ostial stenosis. Results: Side branch compromise occurred in 56 patients (28% of patients). Compared to the non-SB compromise group, patients in the SB compromise group had significantly narrower distal BA (P = 0.022) and narrower corrected BA (P < 0.001). Multivariate analysis demonstrated that the corrected BA was the best independent predictor of SB compromise with a best cut off value ≤ 180̊, and an area under the curve of 0.684 (P < 0.001). The JSC-TOP (Jailed SB wire, SB Stenosis percentage, Corrected BA, lesion Thrombus, distal main vessel stent Oversize, Proximal optimization technique)factor was calculated from the best predictors of SB compromise with a better area under the curve (0.867; P < 0.001). Conclusion: The corrected bifurcation angle and the JSC-TOP factor are novel predictors of SB compromise during provisional bifurcation coronary intervention. KEYWORDS: Bifurcation coronary artery disease, True bifurcation, Side branch occlusion
Author Related Publications
Mohammed Ibrahim Amin Ibrahim Musa, "HbA1c And Insulin Resistance As Predictors For The Severity Of Coronary Artery Disease And Systolic Heart Failure In Non Diabetic Patients.", مجله كليه الطب البشري - جامغه الزقازيق, 2014
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Mohammed Ibrahim Amin Ibrahim Musa, "Right ventricular dyssynchrony and functional capacity before and after percutaneous balloon mitral valvuloplasty in patients with mitral stenosis: Determinants and clinical impact", Echocardiography, 2018
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Mohammed Ibrahim Amin Ibrahim Musa, "Utility of 128-row multidetector CT in quantitative evaluation of global left ventricular function in patients with coronary artery disease", The Egyptian Journal of Radiology and Nuclear Medicine, 2018
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Mohammed Ibrahim Amin Ibrahim Musa, "Impact of Pulse Pressure Reserve on Prediabetics with Typical Chest Pain and Normal Coronary Angiography", Journal of Cardiology & Current Research, 2016
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Mohammed Ibrahim Amin Ibrahim Musa, "Total cholesterol/high-density lipoprotein cholesterol and low-density lipoprotein cholesterol/high-density lipoprotein cholesterol as predictors of coronary artery calcification assessed by multidetector computed tomography coronary angiography", Cardiovascular research institute, Isfahan University of Medical Sciences, 2022
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Department Related Publications
Hisham Samir Roushdy Saleh, "A NEW SCORE FOR PREDICTION OF SLOW/NO-REFLOW PHENOMENON DURING PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION", Journal of American collage of cardiology, USA, 2017
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Yasser Gaber Ibrahim Metwally, "Coronary Slow Flow in Patients with Impaired Glucose tolerance and Insulin Resistance.", Springer nature, 2020
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Ahmed Yousry Thareef, "Left Ventricular Restrictive Filling Pattern and the Presence of Contractile Reserve in Patients with Low-Flow/Low-Gradient Severe Aortic Stenosis النسق التقيدى للبطين الأيسر وإمكانية التنبؤ بوجود إحتياطى الإنقباضى للبطين الأيسر فى رضى الضيق الشديد للصمام الأورطى المصاب بضعف السريان وفرق الضغط المنخفض", Echocardiography, 2014
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Ahmed Yousry Thareef, "Evolution of Diastolic Dysfunction in Patients with Coronary Slow Flow Phenomenon and Acute Non-ST Segment Elevation Myocardial Infarction تطور الإعتلال الإنبساطى فى مرضى بطء سريان الدم بالشرايين التاجية المصابين بإحتشاء عضلة القلب الغير مصاحب بإرتفاع مقطع اس تى", Journal Cardiovascular Imaging, 2021
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Eslam Alsayed Mohamed Mohamed Shehata, "Predicting Preventive Strategies of Acute Myocardial Infarction in Young Patients in Egypt: An Observational analytical study in the form of Cross-Sectional study", Wolters Kluwer - Medknow, 2020
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