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Experience and accuracy can result in parity of outcomes following one or two stents for left main stem bifurcation disease
Author(s) -
Colombo Antonio,
Ruparelia Neil
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25972
Subject(s) - medicine , revascularization , disease , intravascular ultrasound , stent , cardiology , radiology , surgery , myocardial infarction
Key Points: Approximately one‐third of patients presenting with significant distal left main stem disease, due to the complexity of disease, require the implantation of two‐stents to achieve acceptable revascularization. In patients with complex distal unprotected left main stem bifurcation disease, a two‐stent strategy is associated with long‐term outcomes that are comparable to a single‐stent strategy in spite of the presence of higher plaque burden and greater lesion complexity. Future studies should focus upon the impact of procedure optimization (e.g. with the routine use of intravascular imaging) and newer generation coronary stents upon long‐term outcomes in this challenging patient group.