scholarly journals TCT-458 Differential Effect of Side Branch Intervention on Long-term Clinical Outcomes According to Side Branch Stenosis after Main Vessel Stenting: Results from the COBIS (Coronary Bifurcation Stenting) II Registry

2015 ◽  
Vol 66 (15) ◽  
pp. B187
Author(s):  
Joo-Yong Hahn ◽  
Young Bin Song ◽  
Seung-Hyuk Choi ◽  
Jin-Ho Choi ◽  
Ju Hyeon Oh ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Differential Effect ◽  
Side Branch ◽  
Coronary Bifurcation ◽  
Main Vessel ◽  
Bifurcation Stenting

Questioning ‘Keep it Simple’ in Treatment of Coronary Bifurcation Disease

2011 ◽  
Vol 6 (2) ◽  
pp. 150
Author(s):  
Helen Routledge ◽  
Keyword(s):  
New Technologies ◽  
Side Branch ◽  
Long Term Outcomes ◽  
Coronary Bifurcation ◽  
Cardiac Enzymes ◽  
Risks And Benefits ◽  
Main Vessel ◽  
Bifurcation Stenting ◽  
Provisional Stenting

The favoured approach for coronary bifurcation disease is provisional stenting, which involves stenting the main vessel (MV) and ignoring the side branch unless clinical circumstances warrant placement of a second stent. This approach is based on a number of studies showing that provisional stenting is superior to conventional two-stent approaches. There is reason to suspect, however, that the conventional wisdom regarding provisional stenting does not accurately reflect the risks and benefits of a traditional two-stent approach. Analysis of studies (e.g. Nordic I; Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents [CACTUS]; and the British Bifurcation Coronary Study: Old, New and Evolving Strategies [BBC ONE]) shows that provisional stenting frequently has similar long-term outcomes to a conventional two-stent approach in some patient populations. The long-term superiority of provisional stenting in coronary bifurcation disease depends on measuring a periprocedural or post-procedural rise in cardiac enzymes; removing this measure results in similar long-term outcomes between provisional and conventional two-stent approaches. New technologies or techniques will hopefully yield clear, unambiguous improvement in coronary bifurcation stenting.

scholarly journals Long-Term Clinical Outcomes and Optimal Stent Strategy in Left Main Coronary Bifurcation Stenting

2018 ◽  
Vol 11 (13) ◽  
pp. 1247-1258 ◽  
Author(s):  
Sungsoo Cho ◽  
Tae Soo Kang ◽  
Jung-Sun Kim ◽  
Sung-Jin Hong ◽  
Dong-Ho Shin ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Left Main ◽  
Coronary Bifurcation ◽  
Bifurcation Stenting
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