scholarly journals Bioresorbable magnesium scaffold in the treatment of simple coronary bifurcation lesions: The BIFSORB pilot II study

2021 ◽  
Author(s):  
Trine Ø. Barkholt ◽  
Omeed Neghabat ◽  
Emil N. Holck ◽  
Lene N. Andreasen ◽  
Evald H. Christiansen ◽  
...  
Keyword(s):  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Bifurcation Lesions

Dedicated Bifurcation Stents Strategy

2009 ◽  
Vol 4 (1) ◽  
pp. 70
Author(s):  
Chen Shao-Liang ◽  
Imad Sheiban ◽  
◽  
Keyword(s):  
Interventional Cardiology ◽  
Daily Practice ◽  
Side Branch ◽  
Control Groups ◽  
Coronary Bifurcation ◽  
Percutaneous Approach ◽  
Coronary Bifurcation Lesions ◽  
Drug Eluting ◽  
Bifurcation Lesions ◽  
Provisional Stenting

Coronary bifurcation lesions represent an area of ongoing challenges in interventional cardiology, mainly due to the higher rate of residual stenosis and restenosis at the side branch ostium. Multiple two-stent bifurcation strategies, including T-stenting, V-stenting, simultaneuos kissing stenting, culotte stenting and classic crush techniques, have no advantages over one-stent techniques. This led to provisional stenting being considered as a mainstream approach, based on the results of numerous randomised trials. Dedicated bifurcation stents have been designed specifically to treat coronary bifurcations with the aim of addressing some of the shortcomings of the conventional percutaneous approach and facilitating the provisional approach. The development of more drug-eluting platforms and larger studies with control groups demonstrating their clinical applicability, efficacy and safety are required before these stents are widely incorporated into daily practice.

A Modified Provisional Stenting Approach to Coronary Bifurcation Lesions: Clinical Application of the “Jailed-Balloon Technique”

2012 ◽  
Vol 25 (3) ◽  
pp. 289-296 ◽  
Author(s):  
JASVINDAR SINGH ◽  
YOGESH PATEL ◽  
JEREMIAH P. DEPTA ◽  
SANTHOSH J. MATHEWS ◽  
TILLMANN CYRUS ◽  
...  
Keyword(s):  
Clinical Application ◽  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Balloon Technique ◽  
Bifurcation Lesions ◽  
Provisional Stenting

Serial intravascular ultrasound analysis comparing double kissing and classical crush stenting for coronary bifurcation lesions

2011 ◽  
Vol 78 (5) ◽  
pp. 729-736 ◽  
Author(s):  
Shao-Liang Chen ◽  
Gary Mintz ◽  
Jing Kan ◽  
Jun-Jie Zhang ◽  
Zuo-Ying Hu ◽  
...  
Keyword(s):  
Intravascular Ultrasound ◽  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Bifurcation Lesions

Side branch long lesion with main vessel vulnerable plaques by optical coherence tomography predict target-vessel myocardial infarction after provisional stenting in patients with coronary bifurcation

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S.L Chen
Keyword(s):  
Side Branch ◽  
Lesion Group ◽  
Lesion Length ◽  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Vulnerable Plaques ◽  
Main Vessel ◽  
Bifurcation Lesions ◽  
Provisional Stenting ◽  
One Year

Abstract Background Provisional side branch (SB) stenting is correlated with target-vessel myocardial infarction (TVMI) in patients with coronary bifurcation lesions. However, the underlying mechanisms remain unknown. Objectives We aimed to determine the correlation of SB lesion length with vulnerable plaques using optical coherence tomography (OCT) and TVMI in patients with coronary bifurcation lesions treated by a provisional approach. Methods A total of 405 patients with 405 bifurcation lesions who underwent pre-PCI OCT imaging of both main vessel (MV) and SB was prospectively enrolled. Patients were defined as Long-SB lesion (SB lesion length ≥10 mm) and Short-SB lesion (SB lesion length <10 mm) groups according to quantitative coronary analysis and were also stratified by the presence of vulnerable plaques based on OCT findings. The primary endpoint was the occurrence of TVMI after provisional stenting at one-year follow-up. Results 178 (43.9%) patients had long SB lesions. Vulnerable plaques predominantly localized in the main vessel (MV) and more frequently in the Long-SB lesion group (42.7%) compared to 24.2% in the Short-SB lesion group (p<0.001). At one-year follow-up after provisional stenting, there were 31 (8.1%) TVMIs, with 11.8% in the Long-SB lesion group and 4.4% in the Short-SB lesion group (p=0.009), leading to significant difference in target lesion failure between two groups (15.2% vs. 6.6%, p=0.007). The rate of cardiac death, revascularization, and stent thrombosis was comparable between study groups. By multivariate regression analysis, long SB lesion length (p=0.011), presence of vulnerable plaques in the polygon of confluence (p=0.001), and true coronary bifurcation lesions (p=0.004) were three independent factors of TVMI. Conclusions Long-SB lesion length with MV vulnerable plaques predict increased TVMI after provisional stenting in patients with true coronary bifurcation lesions. Further study is warranted to identify the better stenting techniques for coronary bifurcation lesions with long lesion in the SB Kaplan-Meier survival curve Funding Acknowledgement Type of funding source: Foundation. Main funding source(s): NSFC

Impact of Pre-dilatation Using the Kissing Balloon Technique on Clinical Outcomes in True Coronary Bifurcation Lesions

2013 ◽  
Vol 111 (7) ◽  
pp. 16B
Author(s):  
Hidefumi Ohya ◽  
Eisho Kyo ◽  
Takafumi Tsuji ◽  
Satoshi Watanabe ◽  
Osamu Katoh
Keyword(s):  
Clinical Outcomes ◽  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Kissing Balloon Technique ◽  
Balloon Technique ◽  
Bifurcation Lesions

scholarly journals The occlusion of secondary small branches arising in region of coronary bifurcation lesions increases restenosis rates after bifurcation stenting. The link between periprocedural ischemia and instent

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P1208-P1208
Author(s):  
D. I. Vassilev ◽  
A. L. Alexandrov ◽  
H. R. Mateev ◽  
I. Simova ◽  
P. Pavlov ◽  
...  
Keyword(s):  
Coronary Bifurcation ◽  
Coronary Bifurcation Lesions ◽  
Bifurcation Stenting ◽  
Bifurcation Lesions
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