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Author(s): Shao-Liang Chen , Imad Sheiban Added: 3 years ago
Bifurcation lesions account for approximately 20–30% of all percutaneous coronary interventions (PCIs). Coronary bifurcation sites are prone to developing obstructive atherosclerotic disease due to turbulent blood flow and change of shear stress. With the complexity of bifurcation lesions, several classification systems have been advocated in order to extablish percutaneous strategies.1–3 In fact… View more

Prevention & Chronic Conditions
Author(s): Maciej Lesiak Added: 3 years ago
While provisional stenting has remained the preferred strategy for majority of bifurcation lesions, controversies still exist regarding when and how to use complex techniques. Most of randomised studies comparing simple and complex approaches have focused on selected populations, included both ‘true’ and ‘non-true’ bifurcation lesions, used first-generation drug eluting stents (DES) and favoured… View more

Intervention
Author(s): Joanna J Wykrzykowska , Willem J van der Giessen Added: 3 years ago
Approach to the Bifurcation Patient Historically, bifurcation lesions have been associated with lower procedural success and a poorer clinical outcome than non-bifurcation lesions. This may be due to the technical difficulty of the procedure but also due to the complexity of the patients. According to the recently presented LEADERS trial sub-study,1 patients who have bifurcation disease are… View more

Imaging & Diagnostics

Intervention
Author(s): Mamas A Mamas , Farzin Fath-Ordoubadi Added: 3 years ago
Bifurcation lesions account for 15–20% of all percutaneous coronary intervention (PCI) cases performed, representing about half a million cases annually.1 But PCI treatment for bifurcation coronary disease has historically yielded less satisfactory results than conventional stenting. The procedure is often technically challenging and has been associated with both lower procedural success rates… View more

Prevention & Chronic Conditions
EuroPCR 23: EBC TWO Five Year Follow-Up: Two-Stent Vs One for Large Bifurcation Lesions
Author(s): Sandeep Arunothayaraj Added: 11 months ago
EuroPCR 23 —We are joined onsite by Dr Sandeep Arunothayaraj (University Hospitals Sussex NHS Foundation Trust, UK) to discuss the findings from a five-year follow-up of the EBC Two Trial. (NCT01560455) EBC Two investigated single-stent versus dual-stent techniques in treating large bifurcation lesions. Over 200 patients were enrolled in the trial.The study found that routine culotte did not… View more

Intervention
BiOSS® Clinical Programme – State of the Art – BiOSS LIM® Stent – The Novel Option for Coronary Bifurcation Treatment
Author(s): Jacek Bil , Robert Gil , Dobrin Vassilev Added: 8 years ago

Prevention & Chronic Conditions
Author(s): Goran Stankovic , Zlatko Mehmedbegovic , Milorad Zivkovic Added: 3 years ago
Approximately 15–20% of percutaneous coronary interventions (PCIs) are performed to treat coronary bifurcations. These procedures are renowned for being technically challenging and historically have been associated with lower procedural success rates and worse clinical outcomes compared with non-bifurcation lesions.1,2 A bifurcation lesion is a lesion occurring at, or adjacent to, a significant… View more

MI/ACS

Intervention
Author(s): Angela Hoye , Scot Garg Added: 3 years ago
Coronary artery bifurcations are at an increased risk of the development of coronary atherosclerosis because of turbulent flow and low shear stress. Bifurcation lesions account for between 8% and 22% of all percutaneous coronary interventions (PCI) and have long posed a problem for interventional cardiologists. Published data show bifurcation lesions treated using bare metal stents (BMS) have… View more

Intervention
Bifurcations - What Have we Learned from Randomised Trials?
Author(s): Leif Thuesen , Niels Ramsing Holm Added: 3 years ago
Bifurcation lesions are frequent and account for about 15 % of all percutaneous coronary intervention cases.1 Bifurcations are a challenging lesion subset involving a main vessel (MV) and its side branch (SB). A bifurcation lesion may be looked upon as the proximal MV, the distal main vessel, the SB and the area of the bifurcation. Short- and long-term results depend on optimal handling of all… View more

Imaging & Diagnostics

Prevention & Chronic Conditions