An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review.
| Autor: | Calik AN; Department of Cardiology, University of Health Sciences, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital Istanbul, Turkey., Cader FA; Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute Dhaka, Bangladesh., Rafflenbeul E; Department of Cardiology and Angiology, Schön Klinik Hamburg Eilbek, Germany., Okutucu S; Department of Cardiology, Memorial Hospital Ankara, Turkey., Khan SR; Department of Cardiology, Ibrahim Cardiac Hospital & Research Institute Dhaka, Bangladesh., Canbolat IP; Department of Cardiology, Demiroglu Bilim University Istanbul, Turkey., Sinan UY; Department of Cardiology, Istanbul University - Cerrahpaşa, Institute of Cardiology Istanbul, Turkey., Alasnag MA; Department of Cardiology, King Fahd Armed Forces Hospital Jeddah, Saudi Arabia. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | US cardiology [US Cardiol] 2023 Aug 04; Vol. 17, pp. e10. Date of Electronic Publication: 2023 Aug 04 (Print Publication: 2023). |
| DOI: | 10.15420/usc.2022.25 |
| Abstrakt: | Bifurcated anatomical locations in the arterial tree, such as coronary artery bifurcations, are prone to develop obstructive atherosclerotic lesions due to the pro-atherogenic low wall shear stress. The percutaneous treatment of bifurcation lesions is among the most challenging complex coronary interventions, including different multistep stenting strategies. Even though provisional side branch (SB) stenting is recommended as the primary approach in most cases, the debate continues between provisional SB and upfront two-stent strategies, particularly in complex bifurcations consisting of a significantly diseased SB that supplies a crucial myocardial territory. This review will highlight the importance of understanding the bifurcation philosophy and provide an individual algorithmic approach to find the optimal treatment strategy for each patient with a non-left main coronary bifurcation lesion. Considering the most recent scientific evidence, the advantages and disadvantages of each stenting technique and the role of intracoronary imaging to optimize bifurcation percutaneous coronary intervention outcomes will be discussed. Competing Interests: Disclosure: MAA is on the US Cardiology Review editorial board; this did not influence peer review. All other authors have no conflicts of interest to declare. (Copyright © The Author(s), 2023. Published by Radcliffe Group Ltd.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|