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Reviews

Percutaneous treatment of left main and non-left main bifurcation coronary lesions using drug-eluting stents

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Pages 229-243 | Received 26 Sep 2015, Accepted 11 Nov 2015, Published online: 29 Dec 2015

References

  • Papers of special note have been highlighted as:
  • • of interest
  • •• of considerable interest
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•• Recent guidelines for the treatment of coronary bifurcations.

  • Kim Y-H, Lee J-H, Roh J-H, et al. Randomized comparisons between different stenting approaches for bifurcation coronary lesions with or without side branch stenosis. JACC Cardiovasc Interv. 2015;8:550–560.

•• Recently published randomized studies comparing routine versus selective final kissing balloon inflation for bifurcations with normal side branches and single- versus double-stent techniques for those with diseased side branches.

  • Colombo A, Bramucci E, Saccà S, et al. Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations: the CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents) Study. Circulation. 2009;119:71–78.
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  • Chen S-L, Sheiban I, Xu B, et al. Impact of the complexity of bifurcation lesions treated with drug-eluting stents: the DEFINITION Study (Definitions and impact of complEx biFurcation lesIons on clinical outcomes after percutaNeous coronary IntervenTIOn using drug-eluting steNts). JACC Cardiovasc Interv. 2014;7:1266–1276.
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  • Ahn J-M, Lee J-Y, Kang S-J, et al. Functional assessment of jailed side branches in coronary bifurcation lesions using fractional flow reserve. JACC Cardiovasc Interv. 2012;5:155–161.

• This study reported the incidence of functionally significant jailed side branches after main branch stenting.

  • Koo B-K, Kang H-J, Youn T-J, et al. Physiologic assessment of jailed side branch lesions using fractional flow reserve. J Am Coll Cardiol. 2005;46:633–637.
  • Koo B-K, Waseda K, Kang H-J, et al. Anatomic and functional evaluation of bifurcation lesions undergoing percutaneous coronary intervention. Circ Cardiovasc Interv. 2010;3:113–119.
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  • Chen S-L, Ye F, Zhang J-J, et al. Randomized comparison of FFR-guided and angiography-guided provisional stenting of true coronary bifurcation lesions: the DKCRUSH-VI (Double Kissing Crush Versus Provisional Stenting Technique for Treatment of Coronary Bifurcation Lesions VI) Trial. JACC Cardiovasc Interv. 2015;8:536–546.
  • Korn HV, Yu J, Ohlow MA, et al. Interventional therapy of bifurcation lesions: a TIMI flow-guided concept to treat side branches in bifurcation lesions—a prospective randomized clinical study (Thueringer bifurcation study, THUEBIS study as pilot trial). Circ Cardiovasc Interv. 2009;2:535–542.
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  • Costa RA, Mintz GS, Carlier SG, et al. Bifurcation coronary lesions treated with the “Crush” technique: an intravascular ultrasound analysis. J Am Coll Cardiol. 2005;46:599–605.

• This study investigated scaffolds on intravascular ultrasound after the crush technique.

  • Chen S-L, Mintz G, Kan J, et al. Serial intravascular ultrasound analysis comparing double kissing and classical crush stenting for coronary bifurcation lesions. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2011;78:729–736.
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• This study investigated the maximal expansion capacity of currently available drug-eluting stent platforms.

  • Foin N, Secco GG, Ghilencea L, et al. Final proximal post-dilatation is necessary after kissing balloon in bifurcation stenting. EuroIntervention. 2011;7:597–604.
  • Waksman R, Legutko J, Singh J, et al. FIRST: fractional flow reserve and intravascular ultrasound relationship study. J Am Coll Cardiol. 2013;61:917–923.
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  • Ormiston JA, Webster MWI, Ruygrok PN, et al. Stent deformation following simulated side-branch dilatation: a comparison of five stent designs. Catheter Cardiovasc Interv. 1999;47:258–264.
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  • Biondi-Zoccai G, Sheiban I, Servi S, et al. To kiss or not to kiss? Impact of final kissing-balloon inflation on early and long-term results of percutaneous coronary intervention for bifurcation lesions. Heart Vessels. 2013 [cited 2014 Aug 5]. Available from: http://link.springer.com/10.1007/s00380-013-0416-0.
  • Ge L, Airoldi F, Iakovou I, et al. Clinical and angiographic outcome after implantation of drug-eluting stents in bifurcation lesions with the crush stent technique: importance of final kissing balloon post-dilation. J Am Coll Cardiol. 2005;46:613–620.
  • Morino Y, Yamamoto H, Mitsudo K, et al. Functional formula to determine adequate balloon diameter of simultaneous kissing balloon technique for treatment of bifurcated coronary lesions: clinical validation by volumetric intravascular ultrasound analysis. Circ J Off J Jpn Circ Soc. 2008;72:886–892.
  • Authors/Task Force members, Windecker S, Kolh P, et al. 2014 ESC/EACTS guidelines on myocardial revascularization: the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2014;35:2541–2619.
  • Kim W-J, Kim Y-H, Park D-W, et al. Comparison of single- versus two-stent techniques in treatment of unprotected left main coronary bifurcation disease. Catheter Cardiovasc Interv. 2011;77:775–782.
  • Song YB, Hahn J-Y, Yang JH, et al. Differential prognostic impact of treatment strategy among patients with left main versus non–left main bifurcation lesions undergoing percutaneous coronary intervention: results from the COBIS (Coronary Bifurcation Stenting) Registry II. JACC Cardiovasc Interv. 2014;7:255–263.
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