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Percutaneous Coronary Intervention for Coronary Bifurcation Lesions: Latest Evidence

Abstract

Purpose of review

This paper provides a synopsis of the best evidence to guide bifurcation percutaneous coronary intervention (PCI), with a focus on recent studies. This is with the aim of guiding the interventional cardiologist in choosing the best, evidence-based technique, to treat commonly encountered coronary bifurcations.

Recent findings

Current evidence supports the use of provisional stenting for most anatomically suitable bifurcation lesions. Newer techniques for side branch protection in provisional stenting have been developed. When a two-stent strategy is required, use of a double-kissing crush technique is favoured, particularly in left main bifurcations. For bifurcation PCI, as in all complex procedures, intravascular imaging plays a key adjunctive role in improving procedural success.

Summary

PCI for coronary bifurcation lesions is an ever-growing field with significant advancements in techniques and technology.

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Funding

Dr. Zaman has been supported by a fellowship (101993) from the National Heart Foundation of Australia.

Author information

Correspondence to Sarah Zaman MBBS, PhD.

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Conflict of Interest

Sean Tan declares that he has no conflict of interest. John Ramzy declares that he has no conflict of interest. Sonya Burgess declares that she has no conflict of interest. Sarah Zaman declares that she has no conflict of interest.

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Tan, S., Ramzy, J., Burgess, S. et al. Percutaneous Coronary Intervention for Coronary Bifurcation Lesions: Latest Evidence. Curr Treat Options Cardio Med 22, 6 (2020). https://doi.org/10.1007/s11936-020-0806-4

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Keywords

  • Bifurcation
  • Coronary artery disease
  • Percutaneous coronary intervention