Update on provisional technique for bifurcation interventions

Francesco Burzotta, Carlo Trani, Lazzaro Paraggio, Cristina Aurigemma

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (Scopus)

Abstract

A series of scientific evidence supports the concept that provisional side-branch stenting should be the preferred strategy for percutaneous coronary inter- vention of bifurcation coronary lesions. However, to date, many interventional cardiologists still consider this technique unsuitable for complex bifurcation lesions. This is mainly due to the fact that provisional stenting may be performed in different ways and several techni- cal refinements may influence the procedural outcome. We here systematically overviewed the arguments which should be considered during the following steps of the provisional strategy: branch wiring, side-branch predilation, “crossover” stenting, proximal optimization, kissing balloon and the side-branch rescue techniques. We suggest that provisional stenting should be regarded as a highly flexible technique which, with specific tech- nical tricks, may allow us to safely treat patients with wide spectrum of bifurcated lesion complexity.
Lingua originaleEnglish
pagine (da-a)27-27
Numero di pagine1
RivistaCurrent Cardiology Reports
Volume18
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Angioplasty, Balloon, Coronary
  • Bifurcated lesions
  • Cardiology and Cardiovascular Medicine
  • Coronary Angiography
  • Coronary Artery Disease
  • Drug-Eluting Stents
  • Humans
  • Percutaneouscoronary interventions
  • Stent

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