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Article: How to optimize the percutaneous treatment of bifurcated lesions: dedicated stents vs. provisional stenting

TitleHow to optimize the percutaneous treatment of bifurcated lesions: dedicated stents vs. provisional stenting
Authors
Issue Date2013
PublisherEdizioni Minerva Medica. The Journal's web site is located at http://www.minervamedica.it/en/journals/minerva-cardioangiologica/
Citation
Minerva Cardioangiologica, 2013, v. 61 n. 5, p. 575-590 How to Cite?
AbstractAlthough provisional T-stenting with stenting of the main branch and optional side branch stenting is nowadays the default strategy generally preferred for simple bifurcation lesions, percutaneous coronary intervention (PCI) of complex true bifurcation lesions remains a difficult task to achieve also with modern second generation drug eluting stents. Treatment of complex bifurcational lesions is not only more time consuming but can lead to significantly higher rate of periprocedural myocardial infarction and late estenosis, stent thrombosis and target lesion revascularization. These clinical complications may be at least in part be due to the fact that current bifurcation techniques often fail to ensure continuous stent coverage of the SB ostium and the bifurcation branches and often leave a significant number of malapposed struts. Struts left unapposed in the lumen are not efficient for drug delivery to the vessel wall, disturb blood flow and may increase the risk of restenosis and stent thrombosis. This article summarises the various techniques of bifurcation stenting, highlighting their relative merits and disadvantages. In addition, the role of newer dedicated bifurcation stent devices, as well as the role of imaging in guiding optimal stent deployment will be discussed.
Persistent Identifierhttp://hdl.handle.net/10722/203158
ISSN
2015 Impact Factor: 0.752
2015 SCImago Journal Rankings: 0.399
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorAlegria-Barrero, Een_US
dc.contributor.authorFoin, Nen_US
dc.contributor.authorLindsay, ACen_US
dc.contributor.authorPaulo, Men_US
dc.contributor.authorChan, PHMen_US
dc.contributor.authorSyrseloudis, Den_US
dc.contributor.authorViceconte, Nen_US
dc.contributor.authorMartos, Ren_US
dc.contributor.authorBeatt, Ken_US
dc.contributor.authorDi Mario, Cen_US
dc.date.accessioned2014-09-19T11:33:42Z-
dc.date.available2014-09-19T11:33:42Z-
dc.date.issued2013en_US
dc.identifier.citationMinerva Cardioangiologica, 2013, v. 61 n. 5, p. 575-590en_US
dc.identifier.issn0026-4725-
dc.identifier.urihttp://hdl.handle.net/10722/203158-
dc.description.abstractAlthough provisional T-stenting with stenting of the main branch and optional side branch stenting is nowadays the default strategy generally preferred for simple bifurcation lesions, percutaneous coronary intervention (PCI) of complex true bifurcation lesions remains a difficult task to achieve also with modern second generation drug eluting stents. Treatment of complex bifurcational lesions is not only more time consuming but can lead to significantly higher rate of periprocedural myocardial infarction and late estenosis, stent thrombosis and target lesion revascularization. These clinical complications may be at least in part be due to the fact that current bifurcation techniques often fail to ensure continuous stent coverage of the SB ostium and the bifurcation branches and often leave a significant number of malapposed struts. Struts left unapposed in the lumen are not efficient for drug delivery to the vessel wall, disturb blood flow and may increase the risk of restenosis and stent thrombosis. This article summarises the various techniques of bifurcation stenting, highlighting their relative merits and disadvantages. In addition, the role of newer dedicated bifurcation stent devices, as well as the role of imaging in guiding optimal stent deployment will be discussed.en_US
dc.languageengen_US
dc.publisherEdizioni Minerva Medica. The Journal's web site is located at http://www.minervamedica.it/en/journals/minerva-cardioangiologica/-
dc.relation.ispartofMinerva Cardioangiologicaen_US
dc.titleHow to optimize the percutaneous treatment of bifurcated lesions: dedicated stents vs. provisional stentingen_US
dc.typeArticleen_US
dc.identifier.emailChan, PHM: phmchan@hku.hken_US
dc.identifier.authorityChan, PHM=rp01864en_US
dc.identifier.pmid24096251-
dc.identifier.scopuseid_2-s2.0-84890503025-
dc.identifier.hkuros239942en_US
dc.identifier.volume61en_US
dc.identifier.spage575en_US
dc.identifier.epage590en_US
dc.identifier.isiWOS:000327753600008-
dc.publisher.placeItaly-

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