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• W2301848507 abstract "Abstract Objectives The aim of this study was to compare the failure rates of crossing side branch ( SB ) with pressure guidewire vs. coronary guidewire after main vessel ( MV ) stenting in coronary bifurcation lesions ( CBL ). Background Percutaneous coronary intervention of CBL is technically difficult. The European Bifurcation Club recommends performing either fractional flow reserve ( FFR ) estimation of the SB or final kissing balloon inflation ( FKBI ) after the MV stenting when a significant SB ostial stenosis is present. Even though FFR is recommended in CBL , there is concern about SB crossing with pressure guidewire among interventionists. Materials and methods We undertook a comprehensive literature search to identify all relevant studies reporting the failure rates of SB crossing after MV stenting with either pressure or coronary guidewire. A random effects model was used to compare the failure rates between the two approaches. Results Our search identified six studies that reported failure rates of SB crossing with a pressure guidewire ( n = 648) and 11 studies that reported failure rates of SB crossing with a coronary guide‐wire ( n = 2601). Estimated pooled failure rate was 3·9% (95% CI : 1·5% to 9·6%) for inability to cross SB with pressure guidewire. Estimated pooled failure rate of SB crossing with coronary guidewire was 3·1% (95% CI : 1·5% to 6·2%). There was no significant difference between the failure rates in the two groups ( P = 0·70). Conclusion The failure rates of SB crossing after MV stenting are low with both pressure and coronary guidewire procedures, with no significant difference between the two approaches." @default.
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• W2301848507 date "2016-04-15" @default.
• W2301848507 modified "2023-09-27" @default.
• W2301848507 title "Comparison of failure rates of crossing side branch with pressure vs. coronary guidewire: a meta-analysis" @default.
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• W2301848507 doi "https://doi.org/10.1111/eci.12620" @default.
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