Current Evidence and Future Perspective for Coronary Bifurcation Stenting Koroner Bifürkasyon Stentleme için Güncel Kanıtlar ve Gelecek Perspektifi
Turk Kardiyoloji Dernegi Arsivi, cilt.50, sa.8, ss.595-609, 2022 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 50 Sayı: 8
- Basım Tarihi: 2022
- Doi Numarası: 10.5543/tkda.2022.22476
- Dergi Adı: Turk Kardiyoloji Dernegi Arsivi
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.595-609
- Anahtar Kelimeler: Clinical trial, coronary bifurcation lesions, major adverse cardiac event, stenting
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Coronary bifurcation lesions account for 15%-20% of all percutaneous coronary interventions and are associated with greater procedural complexity and consequently at higher risk for cardiac adverse events. Early clinical trials in the interventional approach to bifurcation lesions supported provisional stenting. However, the most recent randomized studies have indicated potentially superior results using a double-kissing crush technique, particularly for unprotected distal left main bifurcation lesions. Moreover, many operators recently favor double-kissing mini-culotte, nanocrush, and double-kissing nanocrush stenting techniques for bifurcation lesions. In this review, we describe the traditional and novel bifurcation stenting techniques and the current evidence for each and review general principles for bifurcation percutaneous coronary intervention.