Coronary bifurcation lesions.
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.
Sharma
Samin K
SK
Cardiac Catheterization Laboratory, Cardiovascular Institute, Mount Sinai Hospital, One Gustave Levy Place, New York, NY 10029, USA. samin.sharma@msnyuhealth.org
Kini
Annapoorna S
AS
D015906:Angioplasty, Balloon, Coronary; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D011859:Radiography; D015607:Stents
D005343:Fibrinolytic Agents; D007166:Immunosuppressive Agents