Coronary bifurcation lesions.

Abstract:

:Treatment of coronary bifurcation lesions represents a challenging area in interventional cardiology, but recent advances in percutaneous coronary interventions have led to a dramatic increase in the number of patients successfully treated percutaneously. When compared with nonbifurcation interventions, bifurcation interventions have a lower rate of procedural success, higher procedural costs, longer hospitalization, and a higher rate of clinical and angiographic restenosis. The recent introduction of drug-eluting stents has resulted in a lower event rate and reduction of main vessel restenosis compared with historical controls. Side branch ostial residual stenosis and long-term restenosis remain a problem, however. Although stenting the main vessel with provisional side branch stenting seems to be the prevailing approach, in the era of drug-eluting stents, various two stent techniques have emerged to allow stenting of the large side branch also.

journal_name

Cardiol Clin

journal_title

Cardiology clinics

authors

Sharma SK,Kini AS

doi

10.1016/j.ccl.2006.02.003

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

233-46, vi

issue

2

eissn

0733-8651

issn

1558-2264

pii

S0733-8651(06)00009-9

journal_volume

24

pub_type

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