Percutaneous coronary intervention in bifurcation lesions. Does classification aid treatment selection?
نویسندگان
چکیده
Correspondence: Dr. A. Medina. Servicio de Cardiología. Hospital Universitario de Gran Canaria Dr. Negrín. Barranco de la Ballena, s/n. 35010 Las Palmas de Gran Canaria. Las Palmas. España. E-mail: [email protected] See article on pageS 606-14 Coronary bifurcation lesions are a challenge for percutaneous treatment.1-5 How big a challenge depends on the complexity of the bifurcation. In general, drug-eluting stents are indicated in this type of coronary lesion because they can help reduce the restenosis rate and, in turn, the need for a second intervention, with the technical difficulties which that involves.
منابع مشابه
Coronary Artery Bifurcation Lesions; A Review and a Guide for Specific Interventional Techniques
Percutaneous coronary intervention in the setting of coronary bifurcation lesions is associated with increased risk for complications. The goal of this manuscript is to review the currently available classifications for coronary artery bifurcation lesions with a guide to the use of specific coronary bifurcation techniques based on lesion characteristics
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Percutaneous treatment of complex coronary bifurcation lesions is a constant challenge for the interventionist. Bifurcation lesions are frequent, representing 15% to 20% of all percutaneous coronary interventions (PCIs). Their treatment is associated with lower procedural success and a higher incidence of periprocedural myocardial infarction, stent thrombosis and in-stent restenosis, as well as...
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The treatment of bifurcation lesions remain a technical challenge. Bifurcation lesions represent up to 20% of coronary stenosis that demands percutaneous coronary intervention (1). They are associated with augmented long-term risk for reintervention and stent thrombosis compared with nonbranching lesions (2). Drug-eluting stents (DES) have demonstrated a marked reduction in restenosis, resultin...
متن کاملCoronary Artery Bifurcation Lesions; a Review and a Guide for Specific Interventional Techniques
Percutaneous coronary intervention in the setting of coronary bifurcation lesions is associated with increased risk for complications. The goal of this manuscript is to review the currently available classifications for coronary artery bifurcation lesions with a guide to the use of specific coronary bifurcation techniques based on lesion characteristics. Iran J Med Sci 2008; 33(4): 187-194.
متن کاملClinical applications of fractional flow reserve in bifurcation lesions
Percutaneous coronary intervention (PCI) for coronary bifurcation lesions has been associated with lower procedural success rates and worse clinical outcomes compared with PCI for simple coronary lesions. Angiographic evaluation alone is sometimes inaccurate and does not reflect the functional significance of bifurcation lesions. The fractional flow reserve (FFR) is an easily obtainable, reliab...
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ورودعنوان ژورنال:
- Revista espanola de cardiologia
دوره 62 6 شماره
صفحات -
تاریخ انتشار 2009