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Bifurcation Stenting

Abstract

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Step-by-step manual for planning and performing bifurcation PCI: a resource-tailored approach Percutaneous coronary intervention for bifurcation coronary lesions: the 15th consensus document from the European Bifurcation Club 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 Classification and treatment of coronary artery bifurcation lesions: putting the Medina classification to the test A randomized trial of a dedicated bifurcation stent versus provisional stenting in the treatment of coronary bifurcation lesions Optimal Strategy for Provisional Side Branch Intervention in Coronary Bifurcation Lesions: 3-Year Outcomes of the SMART-STRATEGY Randomized Trial Clinical Outcome of Double Kissing Crush Versus Provisional Stenting of Coronary Artery Bifurcation Lesions: The 5-Year Follow-Up Results From a Randomized and Multicenter DKCRUSH-II Study (Randomized Study on Double Kissing Crush Technique Versus Provisional Stenting Technique for Coronary Artery Bifurcation Lesions) Impact of bifurcation technique on 2-year clinical outcomes in 773 patients with distal unprotected left main coronary artery stenosis treated with drug-eluting stents
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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...
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