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 3

Three-year composite and individual outcomes according to SB treatment.

Whole study populationACEF-LOW group
Outcomes (n, %)SB treatment (N = 548)No SB treatment (N = 541)Adjusted HR†SB treatment (N = 318)No SB treatment (N = 284)Adjusted HR†
HR (95% CI) valueHR (95% CI) value

Target lesion failure∗36 (6.6)50 (9.2)0.75 (0.44–1.28)0.299 (2.8)21 (7.4)0.43 (0.19–0.96)0.04
 Cardiac death16 (2.9)31 (5.7)0.59 (0.27–1.28)0.183 (0.9)7 (2.5)0.57 (0.14–2.32)0.43
 Target vessel MI3 (0.5)5 (0.9)0.42 (0.07–2.42)0.332 (0.6)4 (1.4)0.64 (0.11–3.75)0.62
 CD-TLR17 (3.1)20 (3.7)0.75 (0.35–1.62)0.464 (1.3)15 (5.3)0.24 (0.08–0.75)0.01

Definite/probable ST3 (0.5)3 (0.6)0.89 (0.07–11.83)0.9301 (0.4)
All-cause death24 (4.4)47 (8.7)0.69 (0.38–1.27)0.245 (1.6)8 (2.8)0.97 (0.30–3.08)0.95
Any MI6 (1.1)7 (1.3)0.78 (0.23–2.65)0.704 (1.3)5 (1.8)0.89 (0.23–3.47)0.87
Any repeat revascularization56 (10.2)50 (9.2)1.12 (0.72–1.74)0.6225 (7.9)29 (10.2)0.82 (0.47–1.44)0.49
Target vessel revascularization28 (5.1)30 (5.5)0.96 (0.52–1.78)0.9010 (3.1)20 (7.0)0.48 (0.22–1.05)0.07

Composite of cardiac death, target vessel MI, and CD-TLR. †Adjusted for sex, severe lesion calcification, tortuous lesion, 3-vessel disease, and ACEF score. SB, side branch; HR, hazard ratio; MI, myocardial infarction; CD-TLR, clinically driven target lesion revascularization; ST, stent thrombosis.