Provisional stenting or not provisional stenting: Seven critical points for bifurcations treatment with a glimpse on left main bifurcation stenting

Riccardo Iorio, Alberto Cereda, Augustin Vecchia, Enrico Romagnoli, Paolo Cioffi, Gaetano Chiricolo, Giuseppe Sangiorgi

Research output: Contribution to journalReview articlepeer-review

Abstract

Stenting of coronary bifurcation lesions represents a challenge for the interventional cardiologist. A bifurcation lesion could be treated with several techniques. Therefore, it is of paramount importance to decide the strategical approach at the beginning of the procedure evaluating the patient’s bifurcation anatomy, the angle between main and side branch, plaque burden at the level of the carina, and size of the side branch. Although it is clear that all bifurcation’s treatment techniques have each one their advantages and disadvantages, provisional stenting remains the gold-standard technique, because it leaves the possibility to switch to other technical solutions with optimal angiographic and long-term clinical results. In this review different tips and tricks for left main and bifurcation stenting are debated.

Original languageEnglish
Pages (from-to)322-330
Number of pages9
JournalMinerva Cardiology and Angiology
Volume69
Issue number3
DOIs
Publication statusPublished - Jun 2021
Externally publishedYes

Keywords

  • Heart
  • Review
  • Stents

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

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