Approach to Treatment of Bifurcation Lesions

Opinion statement Bifurcation lesions are frequently encountered in the cath lab [ 1 ] and remain a challenge for conventional percutaneous coronary intervention (PCI) techniques. Although provisional stenting remains the default approach for most bifurcation lesions [ 2 – 6 ], the two-stent techniq...

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Bibliographic Details
Published in:Current treatment options in cardiovascular medicine 2016, Vol.18 (1), p.5-5, Article 5
Main Authors: Alomari, Ihab, Seto, Arnold
Format: Article
Language:English
Subjects:
Angioplasty
Cardiology
Catheters
Classification
Clinical outcomes
Clinical trials
Coronary Artery Disease (D Feldman and V Voudris
Heart attacks
Medicine
Medicine & Public Health
Section Editors
Stents
Topical Collection on Coronary Artery Disease
Wire
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Summary:Opinion statement Bifurcation lesions are frequently encountered in the cath lab [ 1 ] and remain a challenge for conventional percutaneous coronary intervention (PCI) techniques. Although provisional stenting remains the default approach for most bifurcation lesions [ 2 – 6 ], the two-stent technique is more appropriate in certain situations. If a two-stent strategy is selected, then final kissing balloon inflation (KBI) should be performed. Adjunctive assessment with intravascular imaging (intravascular ultrasound (IVUS)/optical coherence tomography (OCT)) and physiologic testing (fractional flow reserve, FFR) should be performed liberally. Drug-eluting stents (DES) are typically utilized to reduce the risk of restenosis in bifurcation disease.
ISSN:1092-8464
1534-3189
DOI:10.1007/s11936-015-0428-4