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
. 2008 Feb;31(2):63-6.
doi: 10.1002/clc.20177.

Present status of coronary bifurcation stenting

Rishi Sukhija  1 , Jawahar L Mehta, Rajesh Sachdeva
Affiliations
Review

Present status of coronary bifurcation stenting

Rishi Sukhija et al. Clin Cardiol. 2008 Feb.

Abstract

Percutaneous coronary intervention (PCI) for bifurcation lesions is technically limited by the risk of side branch occlusion. In comparison with nonbifurcation interventions, bifurcation interventions have a lower rate of procedural success, higher procedural costs and a higher rate of clinical and angiographic restenosis. The recent introduction of drug-eluting stents (DES) has resulted in reduced incidence of main vessel restenosis compared with historical controls. However, side-branch ostial residual stenosis and long-term restenosis still remain problematic. In the era of DES, techniques employing two stents have emerged that allow stenting of the large side branch in addition to the main artery. Stenting of the main vessel with provisional side branch stenting seems to be the prevailing approach. This paper reviews outcome data with different treatment modalities for this complex lesion with particular emphasis on the use of DES as well as potential new therapeutic approaches.

PubMed Disclaimer

References

    1. Gotlieb AI, Langille BL: The role of rheology in atherosclerotic coronary artery disease In Atherosclerosis and Coronary Artery Disease (Eds. Fuster V, Ross R, Topol EJ.), pp 595–606. Vol. 1 Philadelphia, PA: Lippincott‐Raven: 1996.
    1. Koller P, Safian RD: Bifurcation stenosis In Manual of Interventional Cardiology (Eds. Freed E, Safian RD, Grines C.), pp 229–241. Birmingham,MI: Physician Press: 1997.
    1. Weinstein JS, Baim DS, Sipperly ME, McCabe CH, Lorell BH: Salvage of branch vessels during bifurcation lesion angioplasty: acute and long‐term follow‐up. Cathet Cardiovasc Diagn 1991; 22(1): 1–6. - PubMed
    1. Mathias DW, Mooney JF, Lange HW, Goldenberg IF, Gobel FL, et al.: Frequency of success and complications of coronary angioplasty of a stenosis at the ostium of a branch vessel. Am J Cardiol 1991; 67(6): 491–495. - PubMed
    1. Lewis BE, Leya FS, Johnson SA, Grassman ED, Hwang M, et al.: Assessment of outcome of bifurcation lesions and non‐bifurcation lesions treated in the CAVEAT trial. CAVEAT Investigator Group. J Invasive Cardiol 1995; 7(9): 251–258. - PubMed

LinkOut - more resources