title: Acute procedural results in the treatment of 30 coronary artery bifurcation lesions with a double-wire atherectomy technique for side-branch protection.
abstract: Percutaneous treatment of bifurcation lesions has been consistently shown to be associated with lower acute success rates, higher initial complication rates, and an increased rate of restenosis when compared with findings in nonbifurcation lesions. Recent analysis of data from a CAVEAT subgroup suggests that directional atherectomy of bifurcation lesions can improve initial success rates and lower restenosis rates but at the cost of high complication rates. Reports from several angioplasty series document improved success rates and lower complication rates with the use of a two-wire technique to protect side branches when treating bifurcation lesions. Our experience with a two-wire atherectomy technique that uses a nitinol wire to protect important side branches is presented.
authors.affiliation: Loyola University Medical Center, Maywood, IL 60153.
authors.forename: B E
authors.initials: BE
authors.lastname: Lewis
authors.forename: F S
authors.initials: FS
authors.lastname: Leya
authors.forename: S A
authors.initials: SA
authors.lastname: Johnson
authors.forename: E D
authors.initials: ED
authors.lastname: Grassman
authors.forename: T L
authors.initials: TL
authors.lastname: McKiernan
authors.forename: C W
authors.initials: CW
authors.lastname: Sumida
authors.forename: D M
authors.initials: DM
authors.lastname: Killian
authors.forename: M
authors.initials: M
authors.lastname: Hwang
authors.forename: J
authors.initials: J
authors.lastname: Losurdo
authors.forename: H S
authors.initials: HS
authors.lastname: Loeb
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000497:Alloys; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004562:Electrocardiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D000497:Alloys; C013616:nitinol