Safety issues related to treating bifurcation lesions.
Treating bifurcation lesions is a challenge in interventional cardiology. There is evidence that the anatomic morphology of the lesions plays a role not only in procedural success and complication rates, but also in the selection of stenting technique. Bifurcation angle, assessment of lesion severity, and acute stent thrombosis all pose a challenge to the interventionist. Safety issues related to treatment of bifurcation coronary disease is discussed. Assessment of lesions both before and after stenting using intravascular ultrasound in addition to quantitative coronary angiography may result in fewer complications.
Saltzman
Adam J
AJ
Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Mehran
Roxana
R
Dangas
George D
GD
D000208:Acute Disease; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D018579:Patient Selection; D011474:Prosthesis Design; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D013927:Thrombosis / Q000209:etiology* / Q000517:prevention & control; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional