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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…
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Author(s):
J Raider Estrada
,
Jonathan D Paul
,
Atman P Shah
,
et al
Added:
3 years ago
While the breadth of procedural offerings in interventional cardiology (IC) has exponentially expanded over the past four decades to include cardiac structural, peripheral arterial, and venous interventions, percutaneous coronary intervention (PCI) remains at the core of the field, accounting for the greatest percentage of therapeutic catheter-based procedures performed by IC practitioners in the…
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Treatment of Bifurcation Coronary Artery Disease with the Dedicated Cappella Sideguard® Stent
Author(s):
Mamas A Mamas
,
Farzin Fath-Ordoubadi
Added:
3 years ago
Article
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…
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Author(s):
,
Adriano Caixeta
,
Gregg Stone
Added:
3 years ago
Accurate characterisation of coronary artery disease (CAD) anatomy based on the diagnostic angiogram is essential to select the optimal strategy of revascularisation. Recently, the SYNTAX score generated a great amount of interest because of its ability to risk-stratify and discriminate outcomes of patients with complex CAD undergoing percutaneous coronary intervention (PCI) as compared to…
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Author(s):
Nitin Chandramohan
,
Jonathan Hinton
,
Peter O’Kane
,
et al
Added:
3 weeks ago
Author(s):
Tanush Gupta
,
Michael Weinreich
,
Mark Greenberg
,
et al
Added:
3 years ago
Percutaneous coronary intervention (PCI) is the most commonly used revascularisation modality for obstructive coronary artery disease.1 Despite significant advances in PCI over the past 40 years, severe coronary calcification remains a challenge for successful PCI.2,3 Up to 20% of patients undergoing PCI are estimated to have moderate to severe coronary calcification.4,5
Heavily calcified…
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Author(s):
Angela Hoye
Added:
3 years ago
The coronary tree is comprised of arteries which divide into ever smaller branches to supply the myocardium. This means that the diameter of the vessel proximal to a bifurcation is always larger than the diameter of the main vessel distal to the bifurcation. The proximal optimisation technique (POT) was proposed by Dr Olivier Darremont as a technique to compensate for this difference in diameters…
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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…
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Author(s):
Giovanni Luigi De Maria
,
Adrian P Banning
Added:
3 years ago
Detection of obstructive disease of the left main coronary artery (LMCA) is relatively unusual in the catheterisation laboratory, as it accounts for approximately 4 % of all coronary angiograms, with isolated LMCA disease observed in only 5–10 % of these cases.1
Intervention to the LMCA is, however, notable compared to the treatment of coronary stenosis elsewhere in the coronary tree. First,…
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