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Bifurcation Stenting

Abstract

Recommended Article

Optimal Strategy for Provisional Side Branch Intervention in Coronary Bifurcation Lesions: 3-Year Outcomes of the SMART-STRATEGY Randomized Trial A randomized trial of a dedicated bifurcation stent versus provisional stenting in the treatment of coronary bifurcation lesions Long-Term Clinical Outcomes of Final Kissing Ballooning in Coronary Bifurcation Lesions Treated With the 1-Stent Technique: Results From the COBIS II Registry (Korean Coronary Bifurcation Stenting Registry) T and small protrusion (TAP) vs double kissing crush technique: Insights from in-vitro models 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 Evolution of the Crush Technique for Bifurcation Stenting Treatment of coronary bifurcation lesions, part I: implanting the first stent in the provisional pathway. The 16th expert consensus document of the European Bifurcation Club Treating Bifurcation Lesions: The Result Overcomes the Technique
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Review Article2018 Mar;14(2):165-179.

JOURNAL：Future Cardiol. Article Link

Treatment of coronary bifurcation lesions: current knowledge and future perspectives

Elwany M, Palma GD, Cortese B et al. Keywords: BVS; DCB; PCI; bioresorbable vascular scaffold; coronary bifurcation lesions; drug-coated balloons; percutaneous coronary interventions

ABSTRACT

Coronary lesions at bifurcation sites are frequent and still remain a challenging subset for the interventional cardiologist. Although in the last years the provisional stenting technique has shown more consistent results, coronary bifurcation interventions still share a worse procedural success rate and increased rates of mid- and long-term cardiac events. Most of the dedicated devices proposed in the last few years have failed to show improved results when compared with standard devices. The broader use of imaging techniques, such as intravascular ultrasound and optical coherence tomography, lead to a better understanding of the real anatomy of bifurcations and has shown to be a great tool for percutaneous coronary intervention optimization. Preliminary results come from drug-coated balloons and bioresorbable vascular scaffolds, especially for the 'leave nothing behind' concept, particularly interesting in this setting of lesions.

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