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Bifurcation Stenting

Abstract

Recommended Article

Developing a Mobile Application for Global Cardiovascular Education 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 European Bifurcation Club White Paper on Stenting Techniques for Patients With Bifurcated Coronary Artery Lesions Technical aspects of the culotte technique 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 Streamlined reverse wire technique for the treatment of complex bifurcated lesions
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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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