{
  "abstract": "Background/Objectives: The optimal stent deployment strategy for low-complexity Type A and B1 coronary lesions remains poorly defined. We compared direct stenting (DS) and predilatation followed by stenting (PS) in elective percutaneous coronary intervention (PCI) for these lesions. Methods: This single-center, retrospective study included adults undergoing elective PCI with drug-eluting stents for ACC/AHA Type A or B1 lesions between June 2020 and December 2025. Procedure duration, cumulative contrast volume, and cumulative reference air kerma were compared using generalized estimating equations accounting for within-patient clustering, adjusted for clinical, lesion-related, procedural, and operator-related factors. Results: In total, 324 patients contributed 334 PCI observations (PS: 239; DS: 95). After adjustment, DS was associated with lower contrast volume (−18.12 mL; 95% CI −28.08 to −8.17; p < 0.001) and lower cumulative reference air kerma (−223.54 mGy; 95% CI −259.98 to −187.11; p < 0.001), whereas procedure duration did not differ significantly (−0.92 min; 95% CI −4.56 to 2.71; p = 0.619). Findings were consistent when restricted to the first PCI per patient. Conclusions: In these lesions, DS was associated with lower contrast volume and cumulative reference air kerma, without a significant adjusted difference in procedure duration. As nonrandomized observations, these findings do not establish equivalence in clinical safety or effectiveness, nor do they demonstrate cost-effectiveness.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiology, Istanbul Esenyurt State Hospital, Istanbul 34517, Türkiye",
    "Department of Cardiology, Istanbul Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Türkiye"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Gazi Capar",
      "orcid": "0000-0002-9857-0962"
    },
    {
      "affs": [
        1
      ],
      "name": "Ahmet Guler"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b8yp3n0z2b5d9.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15208144",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706010/?tool=EBI",
  "id": "b8yp3n0z2b5d9",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://www.mdpi.com/2077-0383/15/20/8144",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Coronary Interventions and Diagnostics"
    ]
  ],
  "openalex": "W7223048444",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13706010/pdf/?tool=EBI",
  "pmcid": "PMC13706010",
  "pmid": null,
  "published": "2026-10-01",
  "publisher": "MDPI AG",
  "ris": "https://research.draconitic.com/paper/b8yp3n0z2b5d9.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:01Z",
      "native_id": "10.3390/jcm15208144",
      "source": "crossref",
      "url": "https://www.mdpi.com/2077-0383/15/20/8144"
    },
    {
      "first_seen": "2026-10-30T12:21:45Z",
      "native_id": "PMC:PMC13706010",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13706010"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Coronary Interventions and Diagnostics",
      "subfield": "surgery"
    }
  ],
  "title": "Procedural Efficiency of Direct Stenting Versus Predilatation in Type A and B1 Coronary Lesions",
  "title_text": "Procedural Efficiency of Direct Stenting Versus Predilatation in Type A and B1 Coronary Lesions",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:45Z",
  "url": "https://research.draconitic.com/paper/b8yp3n0z2b5d9",
  "venue": "Journal of Clinical Medicine",
  "versions": []
}