Research Article

Association of Side-Branch Treatment and Patient Factors in Left Anterior Descending Artery True Bifurcation Lesions: Analysis from the GRAND-DES Pooled Registry

Table 1

Baseline characteristics according to SB treatment.

Total (n = 1,089)SB treatment (n = 548)No SB treatment (n = 541) value

Patient factors
Sex (male, %)762 (70.0)396 (72.3)366 (67.7)0.11
Age (years)64.7 ± 10.963.9 ± 11.165.5 ± 10.60.01
BMI (kg/m2)24.4 ± 3.124.4 ± 3.124.4 ± 3.10.88
Current smoker301 (27.6)157 (28.7)144 (26.6)0.50
Comorbidities
Hypertension669 (61.4)318 (58.0)351 (64.9)0.02
Diabetes391 (35.9)173 (31.6)218 (40.3)<0.01
Dyslipidemia668 (61.3)333 (60.8)335 (61.9)0.74
CKD48 (4.4)17 (3.1)31 (5.7)0.04
CVA91 (8.4)46 (8.4)45 (8.3)1.00
PAD15 (1.4)8 (1.5)7 (1.3)1.00
FHx of CHD86 (7.9)47 (8.6)39 (7.2)0.47
Previous MI48 (4.4)24 (4.4)24 (4.4)1.00
Present with MI306 (28.1)162 (29.6)144 (26.6)0.31
ACS647 (59.4)320 (58.4)327 (60.4)0.53
LV dysfunction (EF<40%)61 (6.6)23 (4.8)38 (8.6)0.03
Serum Cr, mg/dL0.9 (0.8–1.1)0.9 (0.8–1.1)0.9 (0.8–1.2)0.07
History of PCI or CABG109 (10.0)52 (9.5)57 (10.5)0.64
Lesion characteristics
3VD333 (30.6)139 (25.4)194 (35.9)<0.01
2VD392 (36.0)187 (34.1)205 (37.9)
1VD364 (33.4)222 (40.5)142 (26.2)
Medina class0.96
 1, 1, 1798 (73.3)401 (73.2)397 (73.4)
 1, 0, 189 (8.2)46 (8.4)43 (8.0)
 0, 1, 1202 (18.5)101 (18.4)101 (18.7)
Calcified lesion161 (14.8)57 (10.4)104 (19.2)<0.01
Tortuous lesion226 (20.8)90 (16.4)136 (25.1)<0.01
Procedure characteristics
SB balloon angioplasty373 (34.3)373 (68.1)0 (0)
SB stenting175 (16.1)175 (31.9)0 (0)
IVUS-guidance471 (43.3)250 (45.6)221 (40.9)0.03
GP IIb-IIIa inhibitor48 (4.4)23 (4.2)25 (4.6)0.13
Medications
DAPT >1 year575 (52.8)281 (51.3)294 (54.3)0.34
RAS inhibitor710 (65.2)356 (65.0)354 (65.4)0.92
Beta-blocker710 (65.2)361 (65.9)349 (64.5)0.68
ACEF score1.21 ± 0.481.15 ± 0.401.27 ± 0.54<0.01

Values are mean ± SD, median (interquartile ranges, 25th–75th), or n (%) (per-patient analysis). Calculated in 904 patients with available values for creatinine and ejection fraction. SB, side-branch; BMI, body mass index; CVA, cerebrovascular accident; PAD, peripheral artery disease; FHx, family history; CHD, coronary heart disease; MI, myocardial infarction; ACS, acute coronary syndrome; LV, left ventricle; EF, ejection fraction; Cr, creatinine; PCI, percutaneous coronary intervention; CABG, coronary artery bypass graft surgery; 3VD, three-vessel disease; IVUS, intravascular ultrasound; GP, glycoprotein; DAPT, dual antiplatelet therapy; RAS, renin-angiotensin system; ACEF, age, creatinine, and ejection fraction.