RT Book, Section
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.
SR Print(0)
ID 1146599671
T1 Complex Lesion Intervention: Bifurcation, Left Main Coronary Artery, and Ostial Lesions
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146599671
RD 2024/04/25
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.