Percutaneous coronary intervention for coronary bifurcation disease: 11th consensus document from the European Bifurcation Club

2016 ◽  
Vol 12 (1) ◽  
pp. 38-46 ◽  
Author(s):  
Jens Flensted Lassen ◽  
Niels Ramsing Holm ◽  
Adrian Banning ◽  
Francesco Burzotta ◽  
Thierry Lefèvre ◽  
...  

Circulation ◽  
2014 ◽  
Vol 129 (24) ◽  
pp. 2610-2626 ◽  
Author(s):  
Gregory J. Dehmer ◽  
James C. Blankenship ◽  
Mehmet Cilingiroglu ◽  
James G. Dwyer ◽  
Dmitriy N. Feldman ◽  
...  


2021 ◽  
Author(s):  
Youmei Li ◽  
Qi Mao ◽  
Huanyun Liu ◽  
Denglu Zhou ◽  
Jianhua Zhao

Abstract Purpose To compare the effects of paclitaxal-coated balloon (PCB) versus conventional balloon (CB) on side branch (SB) lesion and cardiovascular outcomes in patients with de novo true bifurcation lesions. Methods In total, 219 patients with de novo true bifurcation lesions were enrolled and divided into PCB group (102 cases) and CB group (117 cases) according to angioplasty strategy in SB. Drug-eluting stent (DES) was implanted in main vessel (MV) for each subject. All subjects underwent a 12-month follow-up for late lumen loss (LLL), restenosis and major adverse cardiovascular events (MACE) after percutaneous coronary intervention (PCI). MACEs included cardiac death, nonfatal myocardial infarction and angina pectoris. Results There were no differences in diameter, minimum lumen diameter (MLD) and stenosis for bifurcation lesions between the two groups before and immediately after PCI (P > 0.05). After 12-month follow-up, no differences occurred in MV-MLD and MV-LLL between the two groups (P > 0.05); SB-MLD in PCB group was higher than that in CB group (1.97 ± 0.36 mm vs. 1.80 ± 0.43 mm, P = 0.007); SB-LLL in PCB group was lower than that in CB group (0.11 ± 0.18 mm vs. 0.19 ± 0.25 mm, P = 0.024). Multivariate COX analyses indicated that PCB group had lower MACE risk than CB group (HR = 0.480, 95%CI 0.244–0.941, P = 0.033). Conclusion PCB could decrease SB-LLL and MACE risk in patients with de novo true coronary bifurcation lesion 12 months after single-DES intervention.



2018 ◽  
Vol 28 (02) ◽  
pp. 137-141 ◽  
Author(s):  
Bogie Putra Palinggi ◽  
Doni Firman

AbstractSide branch occlusion has been implicated as a complication after percutaneous coronary intervention in coronary bifurcation lesions. The role of carina bifurcation angle as one of the characteristics of the coronary bifurcation lesions in causing side branch occlusion after percutaneous coronary intervention is still debated. This study aims to assess the correlation between carina bifurcation angles as one of the characteristics of the coronary bifurcation lesions and side branch occlusion in elective percutaneous coronary intervention. This is a cross-sectional study which utilizes CAAS 5.1 software to measure carina bifurcation angle. We collected 113 lesions in 108 patients that met the inclusion criteria from January 2016 to October 2016. Side branch occlusion occurred in 15 lesions (13.3%), with median carina bifurcation angle 19.17 degrees (p < 0.001). Multivariate analysis showed there is a correlation between carina bifurcation angle with side branch occlusion, OR (odds ratio) 0.86 (95% CI [confidence interval]: 0.80–0.92) with ≤ 33.71 degrees cut off value. Increased risk of side branch occlusion was found in small carina bifurcation angle.



2019 ◽  
Vol 15 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Adrian P. Banning ◽  
Jens Flensted Lassen ◽  
Francesco Burzotta ◽  
Thierry Lefèvre ◽  
Olivier Darremont ◽  
...  


2018 ◽  
Vol 14 (1) ◽  
pp. 112-120 ◽  
Author(s):  
Francesco Burzotta ◽  
Jens Flensted Lassen ◽  
Adrian P. Banning ◽  
Thierry Lefèvre ◽  
David Hildick-Smith ◽  
...  




2018 ◽  
Vol 13 (13) ◽  
pp. 1540-1553 ◽  
Author(s):  
Jens Lassen ◽  
Francesco Burzotta ◽  
Adrian Banning ◽  
Thierry Lefèvre ◽  
Olivier Darremont ◽  
...  


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