title: [Bifurcation lesions : How should they be assessed and treated?]
abstract: Bifurcation lesions are a therapeutic challenge in the interventional treatment of coronary artery disease. Thus, consideration of anatomical aspects and selection of the most appropriate strategy for an individual bifurcation have an impact on the interventional outcome. Accordingly, assessment of the type of bifurcation stenosis, including the relevance of the side branches, vessel diameter and the angle between the two branches are critical for the optimal choice of interventional strategy. The fractional flow reserve (FFR) is a parameter that provides a measure of the severity of coronary stenosis and despite some limitations, FFR can be applied to bifurcation lesions. In addition, intravascular imaging tools, such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT) can be used to determine anatomical configurations.
authors.affiliation: Medizinische Klinik I, Abteilung für Kardiologie, Universitätsklinikum Gießen, Klinikstraße 33, 35392, Gießen, Deutschland. holger.nef@innere.med.uni-giessen.de.
authors.forename: H M
authors.initials: HM
authors.lastname: Nef
authors.affiliation: Medizinische Klinik I, Abteilung für Kardiologie, Universitätsklinikum Gießen, Klinikstraße 33, 35392, Gießen, Deutschland.
authors.forename: O
authors.initials: O
authors.lastname: Dörr
authors.affiliation: Klinik für Innere Medizin I, St.-Johannes-Hospital Dortmund, Dortmund, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Möllmann
authors.affiliation: Klinik für Kardiologie, Herz-Kreislauf-Zentrum Oldenburg, Oldenburg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Elsässer
mesh_terms: D023921:Coronary Stenosis / Q000175:diagnosis* / Q000601:surgery*; D019317:Evidence-Based Medicine; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D012720:Severity of Illness Index; D041623:Tomography, Optical Coherence / Q000379:methods*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: Coronary bifurcation lesions; Culotte technique; Mini-crush technique; Percutaneous coronary intervention; T and protrusion technique