Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome
Yıl: 2023 Cilt: 51 Sayı: 5 Sayfa Aralığı: 314 - 321 Metin Dili: İngilizce DOI: 10.5543/tkda.2023.74422 İndeks Tarihi: 25-07-2023
Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome
Öz: Objective: Isolated ostial diagonal stenoses are very rare lesions in which percutaneous inter- vention could cause significant vessel compromise, and the long-term results have been reported in a few studies. This study sought the characteristics and long-term follow-up of the patients with isolated osteal diagonal stenosis regarding percutaneous coronary intervention and presence of angina. Methods: The study was an observational retrospective study conducted between January 2014 and December 2020. A total of 9769 patients who underwent coronary angiography were analyzed, and 87 patients had isolated diagonal stenosis. The patients were evaluated according to treatment modality and angina severity in long-term pattern. Results: Median follow-up time was 36 months. A total of 54 (83.1%) patients were fol- lowed up with only medical treatment, and 11 (16.9%) patients underwent revascularization in addition to medical treatment. The degree of stenosis of the diagonal artery was significantly higher in the percutaneous coronary intervention group than medical group (P = 0.002) and the patients with wider reference diameter of diagonal artery complaint of more angina (P = 0.007). Class I angina was significantly higher in percutaneous coronary intervention group than medical and the patients with no angina were significantly higher in medical group than percutaneous coronary intervention group. Conclusion: Percutaneous coronary intervention was mainly performed for diagonal arteries with a higher degree of stenosis; however, the patients who underwent percutaneous coronary intervention had angina more than 50% rates. Furthermore, the patients with ongoing angina had a larger diameter of the diagonal artery regardless of the type of treatment.
Anahtar Kelime: Kronik Koroner Sendromlu Hastalarda İzole Osteal Diyagonal Stenozun Uzun Süreli Gözlemsel Çalışması
Öz: Amaç: İzole osteal diyagonal lezyonları çeşitli komplikasyonlara neden olabilecek tedavi seçe- neğinde ikileme yol açabilecek çok nadir lezyonlardır ve uzun vadeli sonuçları birkaç çalışmada bildirilmiştir. Bu çalışmada izole osteal diyagonal stenozu olan hastaların PKG ve anjina varlığı açısından özellikleri ve uzun dönem takibi araştırıldı. Yöntem: Çalışma, Ocak 2014-Aralık 2020 tarihleri arasında yapılan gözlemsel retrospektif bir çalışmadır. Koroner anjiyografi yapılan toplam 9769 hasta incelendi ve seksen yedi hastada izole diyagonal stenoz saptandı. Hastalar uzun dönem takiplerinde tedavi şekli ve angina şiddetine göre değerlendirildi. Bulgular: Ortanca takip süresi otuz altı aydı. Toplam 54 (%83,1) hasta sadece medikal tedavi ile izlendi ve 11 (%16,9) hastaya medikal tedaviye ek olarak revaskülarizasyon uygulandı. Diyagonal arter darlık derecesi PKG grubunda medikal gruba göre anlamlı derecede yüksekti (P = 0,002) ve diyagonal arter referans çapı daha geniş olan hastalarda daha fazla anjina şikayeti vardı (P = 0,007). PKG grubunda sınıf 1 anjina medikal tedavi grubuna göre daha yüksekti ve anjinası olmayan hastalar medikal tedavi grubunda belirgin şekilde daha yüksekti. Sonuç: PKG esas olarak yüksek derecede darlığı olan diyagonal arterlere uygulandı; ancak PKG uygulanan hastalarda yüzde elliden fazla oranda anjina vardı. Ayrıca, devam eden anjinası olan hastalarda, tedavi türünden bağımsız olarak, diyagonal arterin çapı daha büyüktü.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Torun a, Acar B, KAHRAMAN G, Ural E, Kilic T, Celikyurt U, agacdiken a (2023). Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. , 314 - 321. 10.5543/tkda.2023.74422 |
| Chicago | Torun akın,Acar Burak,KAHRAMAN Göksel,Ural Ertan,Kilic Teoman,Celikyurt Umut,agacdiken aysen Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. (2023): 314 - 321. 10.5543/tkda.2023.74422 |
| MLA | Torun akın,Acar Burak,KAHRAMAN Göksel,Ural Ertan,Kilic Teoman,Celikyurt Umut,agacdiken aysen Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. , 2023, ss.314 - 321. 10.5543/tkda.2023.74422 |
| AMA | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. . 2023; 314 - 321. 10.5543/tkda.2023.74422 |
| Vancouver | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. . 2023; 314 - 321. 10.5543/tkda.2023.74422 |
| IEEE | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a "Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome." , ss.314 - 321, 2023. 10.5543/tkda.2023.74422 |
| ISNAD | Torun, akın vd. "Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome". (2023), 314-321. https://doi.org/10.5543/tkda.2023.74422 |
| APA | Torun a, Acar B, KAHRAMAN G, Ural E, Kilic T, Celikyurt U, agacdiken a (2023). Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. Türk Kardiyoloji Derneği Arşivi, 51(5), 314 - 321. 10.5543/tkda.2023.74422 |
| Chicago | Torun akın,Acar Burak,KAHRAMAN Göksel,Ural Ertan,Kilic Teoman,Celikyurt Umut,agacdiken aysen Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. Türk Kardiyoloji Derneği Arşivi 51, no.5 (2023): 314 - 321. 10.5543/tkda.2023.74422 |
| MLA | Torun akın,Acar Burak,KAHRAMAN Göksel,Ural Ertan,Kilic Teoman,Celikyurt Umut,agacdiken aysen Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. Türk Kardiyoloji Derneği Arşivi, vol.51, no.5, 2023, ss.314 - 321. 10.5543/tkda.2023.74422 |
| AMA | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. Türk Kardiyoloji Derneği Arşivi. 2023; 51(5): 314 - 321. 10.5543/tkda.2023.74422 |
| Vancouver | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome. Türk Kardiyoloji Derneği Arşivi. 2023; 51(5): 314 - 321. 10.5543/tkda.2023.74422 |
| IEEE | Torun a,Acar B,KAHRAMAN G,Ural E,Kilic T,Celikyurt U,agacdiken a "Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome." Türk Kardiyoloji Derneği Arşivi, 51, ss.314 - 321, 2023. 10.5543/tkda.2023.74422 |
| ISNAD | Torun, akın vd. "Long-Term Observational Study of the Isolated Ostial Diagonal Stenosis in Patients with Chronic Coronary Syndrome". Türk Kardiyoloji Derneği Arşivi 51/5 (2023), 314-321. https://doi.org/10.5543/tkda.2023.74422 |
