By Ron Waksman, John A. Ormiston
This is specialist tips on the most vexing medical demanding situations confronted by means of interventional cardiologists. Written by means of international concept leaders within the region and edited through internationally-recognized pioneers in interventional cardiology, Bifurcation Stenting covers all suggestions, imaging modalities, and units in present use, together with VH-IVUS and OCT. It comprises sensible tips/tricks from major specialists and a bit of not easy circumstances to additional illustrate the fabric and aid readers higher comprehend the remedy of bifurcation lesions.
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Extra info for Bifurcation Stenting
Conclusion No differences were found in 6-months clinical outcome between the two strategies. The higher average SB diameter stenosis at angiographic FU 26 Bifurcation stenting in the simple one-stent group did not translate into clinical endpoints including CCS class. The procedures in the complex group were signiﬁcantly more demanding as indicated by higher rates of procedure-related elevation of biomarkers, procedure time and contrast use. Clinical implications The simple strategy of stenting the main vessel and optional stenting of the side branch was found to be feasible and efﬁcient.
Immediate and long-term results of “T”-stenting for bifurcation coronary lesions. Am J Cardiol 2000;85:1141–44. 22 Pan M, Suarez de Lezo J, Medina A, et al. Simple and complex stent strategies for bifurcated coronary arterial stenosis involving the side branch origin. Am J Cardiol 1999;83:1320–5. 23 Pan M, Suarez de Lezo J, Medina A, et al. A stepwise strategy for the stent treatment of bifurcated coronary lesions. Catheter Cardiovasc Interv 2002;55:50–7. , et al. Stenting of bifurcation lesions: Classification, Treatment, and Results.
EuroIntervention 2008;4:229–33. Niemela M, Kervinen K, Erglis A, Holm NR, Maeng M, Christiansen EH, Kumsars I, Jegere S, Dombrovskis A, Gunnes P, Stavnes S, Steigen TK, Trovik T, Eskola M, Vikman S, Romppanen H, Makikallio T, Hansen KN, Thayssen P, Aberge L, Jensen LO, Hervold A, Airaksinen J, Pietila M, Frobert O, Kellerth T, Ravkilde J, Aaroe J, Jensen JS, Helqvist S, Sjogren I, James S, Miettinen H, Lassen JF, Thuesen L. Randomized comparison of ﬁnal kissing balloon dilatation versus no ﬁnal kissing balloon dilatation in patients with coronary bifurcation lesions treated with main vessel stenting: the Nordic-Baltic Bifurcation Study III.
Bifurcation Stenting by Ron Waksman, John A. Ormiston