[Use of drug-coated stents to treat coronary bifurcation lesions]

Abstract

Bifurcation stenoses are one of the most complex categories for endovascular treatment as such lesion requires that the lumen of both a great vessel and a lateral branch be recovered. Introduction of drug-coated stents into clinical practice has changed surgical approaches in this type of an atherosclerotic lesion. The use of two drug-coated endoprostheses or more within the afflicted segment to stent a great vessel or lateral branch does not increase a risk for restenosis. The considerable opportunities of endovascular technologies and the absence of a unified surgical approach in this type of lesion generate a need for systematizing the experience accumulated. The purpose of the present study is to develop an algorithm of bifurcation stenting in different types of X-ray anatomy and morphology of a coronary lesion.