Evidence map›Paper›PMID 42501240›Full record

ArticleCardiovascular intervention and therapeutics2026

Impact of stent size selection during a single stenting with kissing balloon inflation for left main bifurcation lesions.

Yuki Nakata, Takayuki Okamura, Ryoji Nagoshi, Tatsuhiro Fujimura, Yosuke Miyazaki, Takeshi Suetomi, Takuma Nanno, Yasutake Yano, Tetsuya Matsuyama, Keita Kaneyuki and 11 more

Abstract read
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In one paragraph

Article in Cardiovascular intervention and therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Yuki NakataDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Takayuki OkamuraDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan. t-okamu@yamaguchi-u.ac.jp.ORCID http://orcid.org/0000-0001-9671-4232
Ryoji NagoshiDepartment of Cardiology, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
Tatsuhiro FujimuraDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Yosuke MiyazakiDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Takeshi SuetomiDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Takuma NannoDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Yasutake YanoDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Tetsuya MatsuyamaDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Keita KaneyukiDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.
Yoshinobu MurasatoDepartment of Cardiology, National Hospital Organization Kyusyu Medical Center, Fukuoka, Japan.
Masahiro YamawakiDepartment of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan.
Shiro OnoDepartment of Cardiology, Saiseikai Yamaguchi General Hospital, Yamaguchi, Japan.
Takeshi SerikawaDepartment of Cardiology, Fukuoka Wajiro Hospital, Fukuoka, Japan.
Yutaka HikichiDepartment of Cardiovascular Medicine, Saga-Ken Medical Center Koseikan, Saga, Japan.
Hiroaki NoritaDepartment of Cardiology, Oda Hospital, Kashima, Japan.
Fumiaki NakaoDepartment of Cardiology, Yamaguchi Grand Medical Center, Hofu, Japan.
Tomohiro SakamotoDepartment of Cardiology, Saiseikai Kumamoto General Hospital, Kumamoto, Japan.
Toshiro ShinkeDepartment of Medicine, Showa University School of Medicine, Tokyo, Japan.
Junya ShiteDepartment of Cardiology, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
Motoaki SanoDivision of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, Ube, 755-8505, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to the substantial discrepancy in vessel diameter between the proximal and distal segments, appropriate stent size selection is important in percutaneous coronary intervention (PCI) of the left main bifurcation (LMB). Inadequate stent expansion in both the main trunk and daughter branches after kissing balloon inflation (KBI) may contribute to adverse clinical outcomes. We investigated the relationship between stent size selection and vessel dilation in the distal main vessel (DMV) and side branch (SB). We analyzed 80 cases of single stenting with KBI under optical coherence tomography (OCT) guidance for LMB at the Yamaguchi University Hospital and in the 3D-OCT bifurcation registry. Cases were divided into large and small size stent groups based on whether the stent size exceeded or fell below the average of the distal and proximal reference diameters (AvRD). The percentages of ostial stenosis (%OS) in the DMV and SB, along with incomplete stent apposition (ISA) at the bifurcation segment derived by OCT, were compared between the groups. The large size stent group exhibited better dilation in both the DMV and SB compared to the small size stent group (DMV%OS: 4.8 ± 9.3% vs. 9.7 ± 7.8%, P = 0.03; SB%OS: 14.4 ± 10.1% vs. 22.1 ± 12.3%, P = 0.004). There was no significant difference in the incidence of ISA at the bifurcation segment between the two groups (large size stent group:11.4 ± 9.2% vs. small size stent group:14.4 ± 15.7%, P = 0.29). Selecting a stent size larger than the AvRD may be associated with optimal ostium dilatation in both the DMV and SB of the LMB.

Indexed as

Angioplasty, Balloon, CoronaryCoronary Artery DiseaseCoronary VesselsDrug-Eluting StentsPercutaneous Coronary InterventionStentsAgedCoronary AngiographyFemaleHumansMaleMiddle AgedProsthesis DesignRegistriesRetrospective StudiesTomography, Optical CoherenceLeft main coronary artery bifurcation lesionOptical coherence tomographyPercutaneous coronary interventionprovisional stenting with kissing balloon inflationStent sizing

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.