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Management of calcified coronary artery bifurcation lesions
Author(s) -
Patel Nileshkumar J.,
Okamoto Naotaka,
Murphy Jonathan,
Vengrenyuk Yuliya,
Sharma Samin K.,
Kini Annapoorna S.
Publication year - 2021
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.29148
Subject(s) - medicine , bifurcation , stent , stenosis , artery , cardiology , radiology , physics , quantum mechanics , nonlinear system
Abstract Calcified coronary artery bifurcation lesions (CBL) remain a challenge for the interventional cardiologist. Evidence regarding treatment of CBL is minimal. Optimal plaque modification is the most important step prior to stent deployment. Provisional stenting is the preferred strategy for most bifurcation lesions. However, two‐stent strategy should be considered for BL with compromised large SB (>2.5 mm) supplying a large territory, >70% SB stenosis and lesions more than 5 mm long. In this contemporary review article, we present a simplified approach to treating CBL and demonstrate the approach to specific case examples using our newly developed mobile application, BifurcAID.