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Bifurcation Stenting

Abstract

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Multicentre, randomized comparison of two-stent and provisional stenting techniques in patients with complex coronary bifurcation lesions: the DEFINITION II trial Developing a Mobile Application for Global Cardiovascular Education Technical aspects of the culotte technique European Bifurcation Club White Paper on Stenting Techniques for Patients With Bifurcated Coronary Artery Lesions Physiology-guided PCI versus CABG for left main coronary artery disease: insights from the DEFINE-LM registry Usefulness of longitudinal reconstructed optical coherence tomography images for predicting the need for the reverse wire technique during coronary bifurcation interventions Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions Percutaneous Coronary Intervention For Bifurcation Coronary Lesions.The 15th Consensus Document from the European Bifurcation Club

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...