CBS 2019
CBSMD教育中心
中 文

分叉支架

Abstract

Recommended Article

Bench testing and coronary artery bifurcations: a consensus document from the European Bifurcation Club Difference in basic concept of coronary bifurcation intervention between Korea and Japan. Insight from questionnaire in experts of Korean and Japanese bifurcation clubs Percutaneous Coronary Intervention Techniques for Bifurcation Disease: Network Meta-analysis Reveals Superiority of Double-Kissing Crush Double-Kiss-Crush Bifurcation Stenting: Step-by-Step Troubleshooting Anatomical Attributes of Clinically Relevant Diagonal Branches in Patients with Left Anterior Descending Coronary Artery Bifurcation Lesions Long-term outcomes of routine versus provisional T-stenting for de novo coronary bifurcation lesions: five-year results of the Bifurcations Bad Krozingen I study A Randomized Trial Evaluating Online 3-Dimensional Optical Frequency Domain Imaging-Guided Percutaneous Coronary Intervention in Bifurcation Lesions A randomized trial of bifurcation stenting technique in chronic total occlusions percutaneous coronary intervention

Clinical Case Study14 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 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...