Open AccessCoronary bifurcation lesions: current techniques for endovascular treatment
Author(s) -
Т. К. Эралиев,
Dmitrii Khelimskii,
А. Г. Бадоян,
Oleg Krestyaninov
Publication year - 2021
Publication title -
patologiâ krovoobraŝeniâ i kardiohirurgiâ/patologiâ krovoobrašeniâ i kardiohirurgiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 3
eISSN - 2500-3119
pISSN - 1681-3472
DOI - 10.21688/1681-3472-2021-2-38-49
Subject(s) - restenosis , medicine , bifurcation , cardiology , coronary artery disease , radiology , stent , physics , nonlinear system , quantum mechanics
Bifurcation lesions are among the most challenging issues in interventional cardiology, occurring in approximately 15% – 20% of all types of coronary artery disease. Challenges in the endovascular treatment of such lesions include anatomical variability, different treatment approaches, difficulties in physiological assessment of the bifurcation branches, and a high risk of restenosis. Current bifurcation classifications are unable to prognose long-term clinical outcomes. Provisional T-stenting can be used in most cases, including in complex bifurcation lesions. This article aimed to review the current classification of bifurcation lesions, describe the available bifurcation stenting techniques, and discuss the current evidence base. Received 27 December 2020. Revised 9 March 2021. Accepted 12 March 2021. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest.