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Bifurcation lesions

Find all the latest content on bifurcation lesions published on this website.

The percutaneous treatment of coronary bifurcation lesions is very dynamic with an ongoing evolution in clinical approaches and techniques and the management of more complex cases continuing to evolve. Keep up-to-date about all these changes along with the latest research and devices as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks. Use the filters below to access PCRonline resources.

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Bifurcation lesion

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Precision PCI in the era of AI and multimodality imaging

13 Jan 2025

Nailing the ostium of LAD, although technically challenging, can be precisely done with mandatory intracoronary imaging. It is essential to rule out disease extension into left main artery as, otherwise, cross over LM-LAD stenting strategy would be preferable. CTCA can help the interventionist plan the PCI,...

Fawaz Bardooli

Author

Fawaz Bardooli
Tajammul Hussain Hakimuddin

Author

Tajammul Hussain Hakimuddin
Precision PCI in the era of AI and multimodality imaging

Complicated subendothelial dissection during left anterior descending coronary artery – first diagonal branch bifurcation treatment with Culotte technique

06 Jan 2025

Learn more about troubleshooting and tailor-made treatment combining 2D and 3D OCT thanks to this image in cardiology!

Troubleshooting of a complicated subendothelial dissection using 2D and 3D OCT

Stepwise OCT for treatment optimization in provisional approach of bifurcated coronary lesions

10 Jan 2025

OCT provides information of the accuracy of every maneuver performed during the treatment of bifurcation lesions. We can clearly see if the POT achieves proximal stent apposition, if the side branch wire crosses through the correct cell, and the impact of final kissing-balloon inflation on stent geometry.

Javier Suarez de Lezo

Author

Javier Suarez de Lezo
Stepwise OCT for treatment optimization in provisional approach of bifurcated coronary lesions

Complex non left main bifurcation PCI - LIVE case

19 Dec 2024 – From GulfPCR-GIM 2024

A 71-year-old male presented with angina (CCS 2), normal left ventricular function, and mitral stenosis. Coronary angiography revealed severe ostial stenosis of the circumflex artery and a significant LAD/diagonal bifurcation lesion (Medina 0.1.1).

The operators performed balloon valvuloplasty to treat the mitral stenosis, followed by LAD/diagonal PCI....

Non left main bifurcation - LIVE case

Are we giving the KISS the attention it deserves?

06 Jan 2025

Join G. Stankovic, J. Flensted, B.-K. Koo and J. Legutko to evaluate the role of systematic side branch intervention in left main and non-left main provisional stenting and much more!

The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

18 Nov 2024

A 73-year-old male with complex recurrent in-stent restenosis of the left main underwent an innovative treatment approach. Six-month follow-up revealed remarkable recovery and positive remodelling. Discover how Piotr Buszman and Mateusz Kachel tackled this challenging case.

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Piotr Buszman

Author

Piotr Buszman

Author

Mateusz Kachel
The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

Comparison of noncompliant balloon with drug-coating balloon angioplasties for side branch after provisional stenting for patients with true coronary bifurcation lesions: The prospective, multicenter, randomized DCB-BIF Trial

03 Nov 2024

Aaysha Cader provides her take on the DCB-BIF Trial presented by Shao-Liang Chen at TCT 2024 in Washington.

Author

Aaysha Cader
DCB-BIF Trial Aaysha Cader TCT 2024

PCR @ TCT 2024 - Get the international perspective!

27 Oct 2024

Thanks to the contribution of a team of interventional cardiologists from around the globe, get the international perspective on Late-breaking Clinical Trials and Science released at TCT 2024 - check out the list below.

PCRonline @ TCT 2024 - get the international perspective!

Bifurcation PCI with TAP technique - LIVE case

05 Oct 2024 – From AICT-AsiaPCR 2024

A 72-year-old lady with dyslipidemia, hypertension and aspirin intolerance presented an NSTEMI. The coronary angiography showed a distal CX occlusion and a long calcified significant stenosis on proximal LAD with LAD/D3 bifurcation lesion, and a reduced LV function (47%).
Watch the operators as they perform an important...

Bifurcation PCI with TAP technique - LIVE case

Complex left main bifurcation PCI - LIVE case

05 Oct 2024 – From AICT-AsiaPCR 2024

Follow this case of a 65-year-old male with hypertension, a smoker with increasing angina. The coronary angiography found ostial calcified LAD and Circonflex confirmed by IVUS, with a preserved LV function.
The operators decided to perform a PCI of the distal left main with the DK-Crush technique...

Complex left main bifurcation PCI - LIVE case