Journal
JACC-CARDIOVASCULAR INTERVENTIONS
Volume 9, Issue 18, Pages 1861-1878Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jcin.2016.06.056
Keywords
bench testing; coronary bifurcation; provisional side branch stenting strategy; proximal stent optimization; 2-stent techniques; wall shear stress
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Coronary bifurcations are frequent and account for approximately 20% of all percutaneous coronary interventions. Nonetheless, they remain one of the most challenging lesion subsets in interventional cardiology in terms of a lower procedural success rate and increased rates of long-term adverse cardiac events. Provisional side branch stenting should be the default approach in the majority of cases and we propose easily applicable and reproducible stepwise techniques associated with low risk of failure and complications. (C) 2016 by the American College of Cardiology Foundation.
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