Stenting of coronary bifurcation lesions represents a challenge for the interventional cardiologist. A bifurcation lesion could be treated with several techniques. Therefore, it is of paramount importance to decide the strategical approach at the beginning of the procedure evaluating the patient's bifurcation anatomy, the angle between main and side branch, plaque burden at the level of the carina, and size of the side branch. Although it is clear that all bifurcation's treatment techniques have each one their advantages and disadvantages, provisional stenting remains the gold-standard technique, because it leaves the possibility to switch to other technical solutions with optimal angiographic and long-term clinical results. In this mini-review, different tips and tricks for LM and bifurcation stenting are debated.

Iorio, R., Cereda, A., Vecchia, A., Romagnoli, E., Cioffi, P., Chiricolo, G., et al. (2020). Provisional stenting or not provisional stenting: seven critical points for bifurcations treatment with a glimpse on LM bifurcation stenting. MINERVA CARDIOANGIOLOGICA [10.23736/S0026-4725.20.05294-9].

Provisional stenting or not provisional stenting: seven critical points for bifurcations treatment with a glimpse on LM bifurcation stenting

Chiricolo, Gaetano;Sangiorgi, Giuseppe
2020-09-30

Abstract

Stenting of coronary bifurcation lesions represents a challenge for the interventional cardiologist. A bifurcation lesion could be treated with several techniques. Therefore, it is of paramount importance to decide the strategical approach at the beginning of the procedure evaluating the patient's bifurcation anatomy, the angle between main and side branch, plaque burden at the level of the carina, and size of the side branch. Although it is clear that all bifurcation's treatment techniques have each one their advantages and disadvantages, provisional stenting remains the gold-standard technique, because it leaves the possibility to switch to other technical solutions with optimal angiographic and long-term clinical results. In this mini-review, different tips and tricks for LM and bifurcation stenting are debated.
30-set-2020
Online ahead of print
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/06 - ONCOLOGIA MEDICA
English
Con Impact Factor ISI
Iorio, R., Cereda, A., Vecchia, A., Romagnoli, E., Cioffi, P., Chiricolo, G., et al. (2020). Provisional stenting or not provisional stenting: seven critical points for bifurcations treatment with a glimpse on LM bifurcation stenting. MINERVA CARDIOANGIOLOGICA [10.23736/S0026-4725.20.05294-9].
Iorio, R; Cereda, A; Vecchia, A; Romagnoli, E; Cioffi, P; Chiricolo, G; Sangiorgi, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/261577
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