Clinical Outcomes of Double-Kissing Crush or Double-Kissing Culotte in Nonleft Main Bifurcation Lesions: The ROUTE Trial
Authors' conclusion
In the present analysis, DK culotte was associated with lower 1-year target lesion failure rates compared with DK crush in true nonleft main coronary artery bifurcations.
Study context
- Population
- Patients with de novo true non-left main coronary artery bifurcation lesions
- Participants
- 202 patients
- Exposure
- Double-kissing (DK) culotte vs DK crush
- DK culotten = 101
- DK crushn = 101reference
- Outcome
- Target lesion failure:
- Target lesion revascularization
- Target vessel MI
- Cardiac death
Methodological detailsconsecutive patients
- Consecutive patients
Main finding
As reported in the abstract
Target lesion failure
P = 0.028
Observational data: associations, not effects.
Secondary outcomes
Target vessel MI (TLF component)
P = 0.651
Cardiac death (TLF component)
P = 0.315
| Outcome | DK crush | DK culotte | P value |
|---|---|---|---|
| Target lesion revascularization (TLF component) | 9.9% | — not stated in the abstract | P = 0.045 |
— not stated in the abstract
All-cause death and definite stent thrombosis
- No differences between groups
Original publication
Clinical Outcomes of Double-Kissing Crush or Double-Kissing Culotte in Nonleft Main Bifurcation Lesions: The ROUTE Trial. Circ Cardiovasc Interv. Published 24 October 2024. doi:10. 1161/ circinterventions. 124. 014616
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