{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:11:02Z","timestamp":1788667862407,"version":"build-2803163510"},"reference-count":35,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T00:00:00Z","timestamp":1766793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    The present study retrospectively assessed clinical outcomes of proximal optimization technique (POT)-kissing-POT (PKP) and POT-side-POT (PSP) in ST-segment elevation myocardial infarction (STEMI) patients with culprit coronary bifurcation lesion (CBL) following a provisional stenting (PS). This large-scale multicenter (n\u2009=\u200910) study included STEMI patients with culprit CBLs who underwent PKP or PSP following PS. The primary endpoint was defined as the major adverse cardiac events (MACE; cardiac death, target vessel myocardial infarction [TVMI], or clinically driven target lesion revascularization [TLR]). Consecutive patients (n\u2009=\u2009596; male: 491 [82.3%], mean age: 58.1\u2009\u00b1\u200911.7\u2009years) were included. The study cohort was divided into 2 groups: PKP (n\u2009=\u2009386) and PSP (n\u2009=\u2009210). In the overall population, mid-term MACE (hazard ratio [HR]: 0.921,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.461) did not differ in individuals with CBL-related STEMI treated with either PKP or PSP. The frequency of main vessel-TLR (0% vs 30%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.001) and main vessel-TVMI (0% vs 20%,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.014) were significantly lower in the PKP group in the left main bifurcation localization. Diabetes mellitus (HR: 2.628,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), high SYNTAX score (HR: 1.081,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), and bifurcation localization (HR: 2.109,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.014) were found to be independent predictors of MACE. In the overall population, risk-adjusted MACE rates for culprit CBLs were comparable between both techniques.\n                  <\/jats:p>","DOI":"10.1177\/00033197251390099","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T10:19:57Z","timestamp":1766830797000},"page":"1151-1160","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Different Side Branch Ballooning Following Provisional Stenting in Coronary Bifurcation Lesion-Related STEMI"],"prefix":"10.1177","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2123-8312","authenticated-orcid":false,"given":"Cemalettin","family":"Akman","sequence":"first","affiliation":[{"name":"Department of Cardiology, Adiyaman University Training and Research Hospital, Turkey"},{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6517-7278","authenticated-orcid":false,"given":"Ahmet","family":"G\u00fcner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2729-884X","authenticated-orcid":false,"given":"Regayip","family":"Zehir","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ko\u015fuyolu Kartal Heart Training &amp; Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bar\u0131\u015f","family":"\u015eim\u015fek","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0268-9641","authenticated-orcid":false,"given":"Ahmet","family":"\u00d6z","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istanbul Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Kamil","family":"Yemi\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Istanbul Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2721-440X","authenticated-orcid":false,"given":"Mehmet Akif","family":"Erd\u00f6l","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ankara City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebru","family":"Serin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-4324","authenticated-orcid":false,"given":"Veysel Ozan","family":"Tan\u0131k","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ankara Etlik City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Ferhat","family":"Keten","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ko\u015fuyolu Kartal Heart Training &amp; Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi Merve","family":"\u00c7elik","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ankara City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Berkay","family":"Serter","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00fc\u015fra","family":"\u00c7\u00f6rek\u00e7io\u011flu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaan","family":"G\u00f6k\u00e7e","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koray","family":"\u00c7ilo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Do\u011fan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezgi G\u00fcltekin","family":"G\u00fcner","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0426-5987","authenticated-orcid":false,"given":"Saner Bahad\u0131r","family":"G\u00f6k","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ankara Etlik City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6100-9884","authenticated-orcid":false,"given":"Ali","family":"Nural","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5389-3555","authenticated-orcid":false,"given":"Ahmet Ceyhun","family":"Cebeci","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1635-1430","authenticated-orcid":false,"given":"Ali Ya\u015far","family":"K\u0131l\u0131n\u00e7","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sultangazi Haseki Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziya","family":"Apayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sultangazi Haseki Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah Kadir","family":"Dolu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u0130zmir Katip \u00c7elebi University Atat\u00fcrk Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Sar\u0131","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sultangazi Haseki Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mert","family":"Evlice","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Adana City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Pa\u00e7ac\u0131","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Adana City Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hicaz Zencirk\u0131ran","family":"A\u011fu\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azmican","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ko\u015fuyolu Kartal Heart Training &amp; Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koray","family":"Demirci","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ko\u015fuyolu Kartal Heart Training &amp; Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayb\u00fcke","family":"\u015eim\u015fek","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih Furkan","family":"Bedir","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuf Yi\u011fit","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan","family":"\u00d6zel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esin","family":"Karakaya","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0437-6258","authenticated-orcid":false,"given":"Ali","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hande","family":"Uysal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinem Deniz","family":"\u00c7akal","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kudret","family":"Keskin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u015ei\u015fli Hamidiye Etfal Training and Research Hospital, Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Arif","family":"Yal\u00e7\u0131n","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"Uzun","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Health Sciences, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,27]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.05.080"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2011.02.001"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2017.12.019"},{"key":"e_1_3_2_5_2","first-page":"253","article-title":"One-year clinical outcomes of patients presenting with ST-segment elevation myocardial infarction caused by bifurcation culprit lesions treated with the Stentys self-apposing coronary stent: results from the APPOSITION III study","volume":"29","author":"Grundeken MJ","year":"2017","unstructured":"Grundeken MJ, Lu H, Vos N, et al. One-year clinical outcomes of patients presenting with ST-segment elevation myocardial infarction caused by bifurcation culprit lesions treated with the Stentys self-apposing coronary stent: results from the APPOSITION III study. J Invasive Cardiol. 2017;29:253-258.","journal-title":"J Invasive Cardiol"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV4I1A16"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.recesp.2017.06.031"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2019.11.003"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00941"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.05.016"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-20-01386"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.123.012908"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2025.02.007"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-23-00124"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-00165"},{"key":"e_1_3_2_16_2","first-page":"1067","article-title":"European Bifurcation Club white paper on stenting techniques for patients with bifurcated coronary artery lesions","volume":"96","author":"Burzotta F","year":"2020","unstructured":"Burzotta F, Lassen JF, Louvard Y, et al. European Bifurcation Club white paper on stenting techniques for patients with bifurcated coronary artery lesions. Catheter Cardiovasc Interv. 2020;96:1067-1079.","journal-title":"Catheter Cardiovasc Interv"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.04.024"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1157\/13084649"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.124.040166"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-076476"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.07.182"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diii.2021.01.007"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy394"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.5543\/tkda.2022.22476"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/00033197231213194"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.966879"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.5152\/AnatolJCardiol.2022.1136"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.09.049"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-24-00471"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2018.05.014"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacasi.2021.04.002"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.04.015"},{"key":"e_1_3_2_33_2","first-page":"878","article-title":"Mini-crush or nano-crush stenting technique for complex coronary bifurcation lesions: the multicenter MINANO registry","volume":"41","author":"Uzun F","year":"2025","unstructured":"Uzun F, G\u00fcner A, Serin E, et al. Mini-crush or nano-crush stenting technique for complex coronary bifurcation lesions: the multicenter MINANO registry. Can J Cardiol. 2025;41:878-887.","journal-title":"Can J Cardiol"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2025.01.008"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30802"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.14744\/AnatolJCardiol.2025.5050"}],"container-title":["Angiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197251390099","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00033197251390099","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00033197251390099","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:39:21Z","timestamp":1788665961000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00033197251390099"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,27]]},"references-count":35,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00033197251390099"],"URL":"https:\/\/doi.org\/10.1177\/00033197251390099","relation":{},"ISSN":["0003-3197","1940-1574"],"issn-type":[{"value":"0003-3197","type":"print"},{"value":"1940-1574","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,27]]}}}