Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2004 Jun;90(6):713-22.
doi: 10.1136/hrt.2002.007682.

Percutaneous coronary intervention for bifurcation coronary disease

Yves Louvard  1 , Thierry Lefèvre, Marie-Claude Morice
Affiliations
Review

Percutaneous coronary intervention for bifurcation coronary disease

Yves Louvard et al. Heart. 2004 Jun.
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Classification of treatment. (1) and (2): Classic T stenting beginning with side branch stenting. (3): “Modified T stenting”. (4): “Crush” technique. (5): Classic T stenting beginning with main branch stenting. (6): Provisional T stenting. (7): “Culotte” or “trousers” technique. (8): “Touching stents” completed or not as Y technique. (9). “Trouser legs and seat” technique, a classic “touching stents” technique completed proximally by a “skirt” technique. (10): “Kissing stents” technique. (11): “Skirt” technique.
Figure 2
Figure 2
Main branch stent deformation during type B treatment. (A) Biocompatible stent deployed in main branch. (B) After balloon inflation toward the side branch: the ostium of the side branch is stented, the opposite struts of the stent are attracted towards the middle of the main branch lumen. (C) Correction of deformation by kissing balloon inflation. (D) The same figure is observed in a left anterior descending (LAD)-diagonal bifurcation.
Figure 3
Figure 3
Relation between ostium circumference and angulation of the bifurcation.
Figure 4
Figure 4
Institut Cardiovasculaire Paris Sud (ICPS) classification of bifurcation lesions.
Figure 5
Figure 5
(1) Left anterior descending (LAD)/diagonal type 2 bifurcation lesion. (2) The distal LAD is stented first at the ostium. (3) The stent is slightly protruding in the diagonal ostium. (A) Balloon inflation in the diagonal. (4) After LAD to diagonal stenting, plaque shifting has occurred inside the LAD stent. (5) Kissing balloon inflation. (6) Final result with a residual stenosis in mid LAD ostium. (B) No gap in the T stenting.
Figure 6
Figure 6
(1) “Culotte” technique in the bench (Crossflex stent). (2) Final result of a “culotte” technique in a LAD/diagonal bifurcation (Crossflex stent): the excess of metal is not visible.
Figure 7
Figure 7
(1) Type 3 LAD/diagonal bifurcation lesion. (2) After stenting the LAD across the diagonal branch with a jailed wire in the diagonal artery; the diagonal artery ostium is pulled up by the stent and the jailed wire.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Carrie D, Karouny E, Chouairi S, et al. “T”-shaped stent placement: a technique for the treatment of dissected bifurcation lesions. Cathet Cardiovasc Diagn 1996;37:311–3. - PubMed
    1. Colombo A, Stankovic G, Orlic D, et al. Modified “T” stenting technique with “crushing” for bifurcation lesions: immediate results and 30-day outcome. Cathet Cardiovasc Interv 2003;60:145–51. - PubMed
    1. Khoja A, Ozbek C, Bay W, et al. Trouser-like stenting: a new technique for bifurcation lesions. Cathet Cardiovasc Diagn 1997;41:192–6. - PubMed
    1. Kobayashi Y, Colombo A, Akiyama T, et al. Modified “T” stenting: a technique for kissing stents in bifurcational coronary lesion. Cathet Cardiovasc Diagn 1998;43:323–6. - PubMed
    1. Lefevre T, Louvard Y, Morice MC, et al. Stenting of bifurcation lesions: a rational approach. J Interv Cardiol 2001;14:573–85. - PubMed