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The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting

  • Manuel Pan
  • , Jens Flensted Lassen
  • , Francesco Burzotta
  • , Soledad Ojeda
  • , Remo Albiero
  • , Thierry Lefèvre
  • , David Hildick-Smith
  • , Thomas W. Johnson
  • , Alaide Chieffo
  • , Adrian P. Banning
  • , Miroslaw Ferenc
  • , Olivier Darremont
  • , Yiannis S. Chatzizisis
  • , Yves Louvard
  • , Goran Stankovic
  • University of Córdoba
  • University of Southern Denmark
  • Ospedale Civile Sondrio
  • ICPS Institut CardioVasculaire Paris-Sud
  • Royal Sussex County Hospital
  • University Hospitals Bristol and Weston NHS Foundation Trust
  • John Radcliffe Hospital
  • University of Freiburg
  • Clinique Saint Augustin
  • University of Nebraska Medical Center
  • University of Belgrade

Research output: Contribution to journalArticle

Abstract

Provisional stenting has become the default technique for the treatment of most coronary bifurcation lesions. However, the side branch (SB) can become compromised after main vessel (MV) stenting and restoring SB patency can be difficult in challenging anatomies. Angiographic and intracoronary imaging criteria can predict the risk of side branch closure and may encourage use of side branch protection strategies. These protective approaches provide strategies to avoid SB closure or overcome compromise following MV stenting, minimising periprocedural injury. In this article, we analyse the strategies of SB preservation discussed and developed during the most recent European Bifurcation Club (EBC) meetings.
Original languageEnglish
Pages (from-to)26-36
Number of pages11
JournalEuroIntervention
Volume19
DOIs
Publication statusPublished - 2023

Keywords

  • bifurcation
  • side branch occlusion
  • side branch preservation

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