Bifurcation Stenting - The Left Main and Coronary Artery Bifurcation Lesion Summit (CBS)

Abstract

‘Small bifurcation?’ CT myocardial mass volume measurements change therapeutic strategy in coronary artery disease
Coronary bifurcation lesions treated with simple or complex stenting: 5-year survival from patient-level pooled analysis of the Nordic Bifurcation Study and the British Bifurcation Coronary Study
Percutaneous Coronary Intervention Techniques for Bifurcation Disease: Network Meta-analysis Reveals Superiority of Double-Kissing Crush
Influence of the sequence of proximal optimisation technique and side branch dilation for the opening of jailed struts after coronary bifurcation stenting
A randomized trial of bifurcation stenting technique in chronic total occlusions percutaneous coronary intervention
Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations: the CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents) Study
Multicentre, randomized comparison of two-stent and provisional stenting techniques in patients with complex coronary bifurcation lesions: the DEFINITION II trial
Double-Kiss-Crush Bifurcation Stenting: Step-by-Step Troubleshooting
A Randomized Trial Evaluating Online 3-Dimensional Optical Frequency Domain Imaging-Guided Percutaneous Coronary Intervention in Bifurcation Lesions
Clinical Outcomes Following Coronary Bifurcation PCI Techniques: A Systematic Review and Network Meta-Analysis Comprising 5,711 Patients

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Clinical Case Study

14 December 2020

JOURNAL：Eur Heart J.

Article Link

‘Small bifurcation?’ CT myocardial mass volume measurements change therapeutic strategy in coronary artery disease

Youssef S Abdelwahed, Anne-Sophie Schatz 1 2 3 , Ulf Landmesser

3489

Keywords: recurrent chest pain; post DES-PCI

ABSTRACT

A 54-year-old male complaining of recurrent chest pain on exertion (CCS 2) was electively admitted for a second recanalization attempt of a chronic totally occluded (CTO) first diagonal branch. Two years ago, a drug-eluting stent (DES) deployed to the proximal LAD jailed the diagonal ostium leading to its occlusion. Based on the angiographic analysis, seen by contrast filling through the epicardial retrograde collateral flow from the distal LAD, the vessel was considered to be of small calibre (Panel 1A). Because of the perceived interventional risk, intensified maximum medical treatment was the therapeutic strategy of choice. However, the patient was still suffering from recurrent chest pain. To gain...