TY - CHAP M1 - Book, Section TI - Complex Lesion Intervention: Bifurcation, Left Main Coronary Artery, and Ostial Lesions A1 - Lee, Pil Hyung A1 - Ahn, Jung-Min A1 - Park, Seung-Jung A2 - Samady, Habib A2 - Fearon, William F. A2 - Yeung, Alan C. A2 - King III, Spencer B. PY - 2017 T2 - Interventional Cardiology, 2e AB - Bifurcation lesions have been reported to constitute 15% to 20% of all percutaneous coronary interventions (PCI).1 Since they are associated with an increased risk of procedure-related complication, especially side branch (SB) occlusion after stent implantation, treating these distinct lesion subsets has been a significant challenge for interventional cardiologists. Rapid advancements in novel techniques, devices, and adjunctive pharmacotherapies have considerably reduced the risk of acute complications, restenosis, and stent thrombosis (ST), and ultimately have led to the extension of PCI’s clinical application for various complex bifurcation lesions. Moreover, interventional cardiologists have learned lessons from extensive clinical experiences in that many important anatomic features, including relative plaque distribution to the bifurcation, degree of SB angulation, and severity or length of SB lesion, should be taken into account for technical success and favorable clinical outcome.2 Considering that currently there are no clear guidelines to address the use of particular interventional techniques with regard to the specific anatomy of a given bifurcation lesion, every effort should be made to obtain understanding of the technical, clinical, and fundamental aspects of the management of bifurcation disease. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesscardiology.mhmedical.com/content.aspx?aid=1146599671 ER -