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ABSORB BVS Implantation in Bifurcation Lesions - Current Evidence and Practical Recommendations
Author(s):
Robin P Kraak
,
Maik J Grundeken
,
Robbert J de Winter
,
et al
Added:
3 years ago
Article
Author(s):
Refai Showkathali
,
Radha Priya Yalamanchi
Added:
10 months ago
Author(s):
Nicolas Foin
,
Eduardo Alegria-Barrero
,
Ryo Torii
,
et al
Added:
3 years ago
Drug-eluting stents (DESs) have contributed to a significant lowering of the incidence of restenosis and target vessel revascularisation (TVR) in bifurcations.1–4 A randomised study of bifurcation lesions using sirolimus-eluting stents revealed restenosis rates of only 4 % in the main branch (MB) and a TVR rate as low as 8.2 % at six-month follow-up,2 a marked improvement over that in historical…
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Author(s):
Oluseun Alli
,
David Holmes Jr
Added:
3 years ago
Abstract
Patients with complex and multivessel disease present challenging clinical problems in defining treatment strategies. The Synergy between PCI with taxus and cardiac surgery (SYNTAX) trial, which included both a randomised as well as a registry experience has clarified many issues. These include the extent and severity of the disease, the clinical presentation, and the metrics used for…
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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…
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Author(s):
Helen Routledge
Added:
3 years ago
The preferred treatment approach for bifurcation disease can be generally summed up as ‘keep it simple’, otherwise known as provisional stenting. Based on several contemporary studies, coronary interventionalists have settled on a minimalist approach: starting with a single-stent approach for the main vessel (MV) and ignoring side branch (SB) disease unless clinical circumstances warrant…
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Author(s):
Stephan Achenbach
,
Tanja Rudolph
,
Johannes Rieber
,
et al
Added:
3 years ago
The invasive measurement of fractional flow reserve (FFR) can determine the haemodynamic relevance of coronary artery stenoses. Determination of FFR is recommended in coronary artery stenoses with a luminal diameter narrowing between 50 % and 90 % if no non-invasive proof of ischaemia is available.1 To measure the FFR of a given coronary lesion, a wire or a microcatheter equipped with a…
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Author(s):
Ronan Ali
,
Adam B Greenbaum
,
Aaron D Kugelmass
Added:
3 years ago
Abstract
The basic equipment involved in percutaneous coronary interventions - guiding catheters, guide wires and dilation catheters (balloons) - have undergone significant evolution which has allowed for improvements in procedural success and safety. The coronary interventionalist should possess a thorough working knowledge of the available equipment and the ability to select specific equipment…
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Author(s):
Uwe Schwarzwälder
,
Thomas Zeller
Added:
3 years ago
The first renal artery balloon angioplasties were performed by Felix Mahler in Berne and Andreas Grüntzig in Zurich in 1977 using self-made, bulky, coaxial balloon catheters.1,2 Until the beginning of the 1990s, balloon angioplasty was the only method of percutaneous treatment of renal artery stenosis (RAS) with satisfying acute and long-term results for angioplasty of stenoses caused by…
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Author(s):
John Rawlins
,
Jehangir Din
,
Suneel Talwar
,
et al
Added:
3 years ago
A bifurcation lesion within the coronary arterial circulation is defined as a stenosis occurring at, or adjacent to, a significant division of a major epicardial coronary artery.1 Bifurcation lesions account for 1–20% of all percutaneous coronary interventions (PCIs), and treatment remain technically challenging despite advances in PCI techniques and third-generation drug-eluting stent (DES)…
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