An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review
Bifurcated anatomical locations in the arterial tree, such as coronary artery bifurcations, are prone to develop obstructive atherosclerotic lesions due to the pro-atherogenic low wall shear stress. The percutaneous treatment of bifurcation lesions is among the most challenging complex coronary inte...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2023-08-01
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| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2022.25 |
| _version_ | 1826933122894135296 |
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| author | Ali Nazmi Calik F Aaysha Cader Erik Rafflenbeul Sercan Okutucu Saidur Rahman Khan Ismail Polat Canbolat Umit Yasar Sinan Mirvat A Alasnag |
| author_facet | Ali Nazmi Calik F Aaysha Cader Erik Rafflenbeul Sercan Okutucu Saidur Rahman Khan Ismail Polat Canbolat Umit Yasar Sinan Mirvat A Alasnag |
| author_sort | Ali Nazmi Calik |
| collection | DOAJ |
| description | Bifurcated anatomical locations in the arterial tree, such as coronary artery bifurcations, are prone to develop obstructive atherosclerotic lesions due to the pro-atherogenic low wall shear stress. The percutaneous treatment of bifurcation lesions is among the most challenging complex coronary interventions, including different multistep stenting strategies. Even though provisional side branch (SB) stenting is recommended as the primary approach in most cases, the debate continues between provisional SB and upfront two-stent strategies, particularly in complex bifurcations consisting of a significantly diseased SB that supplies a crucial myocardial territory. This review will highlight the importance of understanding the bifurcation philosophy and provide an individual algorithmic approach to find the optimal treatment strategy for each patient with a non-left main coronary bifurcation lesion. Considering the most recent scientific evidence, the advantages and disadvantages of each stenting technique and the role of intracoronary imaging to optimize bifurcation percutaneous coronary intervention outcomes will be discussed. |
| first_indexed | 2024-03-07T17:39:52Z |
| format | Article |
| id | doaj.art-4913628b77d94deaad2d663f3a919f6c |
| institution | Directory Open Access Journal |
| issn | 1758-3896 1758-390X |
| language | English |
| last_indexed | 2025-02-17T17:26:59Z |
| publishDate | 2023-08-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj.art-4913628b77d94deaad2d663f3a919f6c2024-12-14T16:04:36ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2023-08-011710.15420/usc.2022.25An Approach to Non-left Main Bifurcation Lesions: A Contemporary ReviewAli Nazmi Calik0F Aaysha Cader1Erik Rafflenbeul2Sercan Okutucu3Saidur Rahman Khan4Ismail Polat Canbolat5Umit Yasar Sinan6Mirvat A Alasnag7Department of Cardiology, University of Health Sciences, Dr Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, BangladeshDepartment of Cardiology and Angiology, Schön Klinik, Hamburg Eilbek, GermanyDepartment of Cardiology, Memorial Hospital, Ankara, TurkeyDepartment of Cardiology, Ibrahim Cardiac Hospital & Research Institute, Dhaka, BangladeshDepartment of Cardiology, Demiroglu Bilim University, Istanbul, TurkeyDepartment of Cardiology, Istanbul University – Cerrahpaşa, Institute of Cardiology, Istanbul, TurkeyDepartment of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi ArabiaBifurcated anatomical locations in the arterial tree, such as coronary artery bifurcations, are prone to develop obstructive atherosclerotic lesions due to the pro-atherogenic low wall shear stress. The percutaneous treatment of bifurcation lesions is among the most challenging complex coronary interventions, including different multistep stenting strategies. Even though provisional side branch (SB) stenting is recommended as the primary approach in most cases, the debate continues between provisional SB and upfront two-stent strategies, particularly in complex bifurcations consisting of a significantly diseased SB that supplies a crucial myocardial territory. This review will highlight the importance of understanding the bifurcation philosophy and provide an individual algorithmic approach to find the optimal treatment strategy for each patient with a non-left main coronary bifurcation lesion. Considering the most recent scientific evidence, the advantages and disadvantages of each stenting technique and the role of intracoronary imaging to optimize bifurcation percutaneous coronary intervention outcomes will be discussed.https://www.uscjournal.com/articleindex/usc.2022.25 |
| spellingShingle | Ali Nazmi Calik F Aaysha Cader Erik Rafflenbeul Sercan Okutucu Saidur Rahman Khan Ismail Polat Canbolat Umit Yasar Sinan Mirvat A Alasnag An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review US Cardiology Review |
| title | An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review |
| title_full | An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review |
| title_fullStr | An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review |
| title_full_unstemmed | An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review |
| title_short | An Approach to Non-left Main Bifurcation Lesions: A Contemporary Review |
| title_sort | approach to non left main bifurcation lesions a contemporary review |
| url | https://www.uscjournal.com/articleindex/usc.2022.25 |
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