REVIEW   

Minerva Cardioangiologica 2018 August;66(4):489-507

DOI: 10.23736/S0026-4725.18.04650-9

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Delivering ultimate bifurcation treatment

Zlatko H. MEHMEDBEGOVIC, Vladan D. VUKCEVIC, Goran R. STANKOVIC ✉

Department of Cardiology, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia

Coronary bifurcation lesions are accounted in about 20% of all percutaneous coronary interventions and despite all-round improvements in their treatment are still perceived as complex lesion subset in interventional cardiology. Treatment of bifurcations, being technically demanding primarily due to the unique bifurcation anatomy, is related to lower procedural success rate and increased rates of long-term adverse cardiac events. According to published data, provisional approach remains a default strategy for majority of bifurcation PCI, but when perfected, two-stent bifurcation techniques can also yield good clinical outcomes. In this paper, we summarize in stepwise fashion technical aspects of optimal, evidence-based bifurcation treatment aiming to accomplish best procedural results and favorable long-term prognosis.

KEY WORDS: Percutaneous coronary intervention - Stents - Therapeutics