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논문 기본 정보

자료유형
학술저널
저자정보
Liu Kun (Peking University Shougang Hospital) 신은석 (울산대학교) 전은정 (울산병원) 박영준 (울산과학기술원(UNIST)) Scot Garg (East Lancashire Hospitals NHS Trust UK) 김태현 (울산병원) 손창배 (울산병원) 최병주 (울산병원) Lin Hui (Peking University Shougang Hospital) Song Lin Yuan (동아대학교병원) Wang Zhi (Peking University Shougang Hospital) Jiang Hao (Peking University Shougang Hospital) Shi Zhentao (Peking University Shougang Hospital) Tang Qiang (Peking University Shougang Hospital)
저널정보
연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제62권 제11호
발행연도
2021.11
수록면
981 - 989 (9page)
DOI
10.3349/ymj.2021.62.11.981

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Purpose: Although drug-coated balloon (DCB) treatment is known to be effective for de novo lesions, the influence of sex on angiographic and clinical outcomes remains unknown. This study aimed to investigate the angiographic and clinical impact of DCB treatment in patients with de novo coronary lesions according to sex. Materials and Methods: A total of 227 patients successfully treated with DCB were retrospectively enrolled and divided into two groups according to sex. The primary endpoint was late lumen loss (LLL) at 6-month angiography, and the secondary endpoint was target vessel failure (TVF), which included cardiac death, target vessel myocardial infarction, target lesion revascularization, and target vessel thrombosis. Results: The study enrolled 60 women (26.4%) and 167 men (73.6%). Compared to men, women had a smaller vessel size, larger DCB to reference vessel ratio, and more dissections after DCB treatment (55.0% vs. 37.1%, p=0.016). Women also had a significantly higher LLL compared to men (0.12±0.26 mm vs. 0.02±0.22 mm, p=0.012) at the 6-month follow-up angiography. During a median follow-up of 3.4 years (range 12.7?28.9 months), TVF was similar (women 6.7% vs. men 7.8%, p=0.944). In multivariable analysis, women were independently associated with a higher LLL. Conclusion: LLL was higher in women, but there was no difference in TVF between women and men. Based on multivariable analysis, the women sex was an independent predictor of higher LLL (Impact of Drug-coated Balloon Treatment in de Novo Coronary Lesion; NCT04619277).

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