How should we manage lesions located in coronary bifurcations in 2017? Review article
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Abstract
Procedures within coronary bifurcations stand for approximately 15–20% of all percutaneous coronary interventions. Unfortunately, although there are many literature data the choice of the best approach is still very controversial. The European Bifurcation Club prepared 11th Consensus summarizing the current recommendations on the treatment of lesions located in coronary bifurcations. In this document the lesion classification (Medina classification) as well as the treatment strategies classification (MADS classification) were reminded one more time. Also, the principles of choosing 1- vs 2-stent strategy, the role of kissing balloons technique as well as the proximal optimization technique were discussed. Additionally, the current views on the use of dedicated bifurcation stents and intracoronary imaging during PCI were presented.
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Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
References
2. Collet C., Onuma Y., Cavalcante R. et al.: Quantitative angiography methods for bifurcation lesions: a consensus statement update from the European Bifurcation Club. EuroIntervention 2017; 13: 115-123.