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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.

Keep on Learning! Benefit from PCR’s wide choice of education continuum on bifurcation lesions: Courses, educative tools and much else besides.

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Bifurcation lesion

264 results

Revolutionising coronary calcium treatment: unleashing the potential of intravascular lithotripsy

21 Sep 2023 – From AICT-AsiaPCR 2023

Over the last five years, we have learned that there is a new tool for treating calcium, the greatest enemy of interventional cardiology, which can take various forms: intravascular lithotripsy. In this session, look at how to master this technique in different scenarios, from eccentric calcified...

Revolutionising coronary

CTO challenges

21 Sep 2023 – From AICT-AsiaPCR 2023

Broaden your knowledge in CTO interventions in this session: delve into the complexities of managing refractory angina, gain insights into the unique challenges of anomalous and ectatic RCA CTOs, explore effective techniques using separate cornus branch in LAD treatment, and discover how to address unexpected complications...

CTO challenges

Left main interventions: cutting-edge insights

21 Sep 2023 – From AICT-AsiaPCR 2023

Join us in this session on left main interventions and explore the challenges and strategies for left main PCI in complex cases, from minimalist approaches in limited-resource settings to complex procedures like percutaneous transluminal coronary angioplasty with IVUS guidance.

Left main interventions: cutting-edge insights

Bifurcation left main stenting with or without intracoronary imaging: Outcomes from the EBC MAIN trial

08 Aug 2023

This sub-analysis of EBC MAIN aimed to determine if intracoronary imaging use during LM bifurcation PCI was associated with fewer MACE, for patients treated with a planned dual‐stenting strategy versus provisional strategy.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Bifurcation left main stenting with or without intracoronary imaging: Outcomes from the EBC MAIN trial

The OCTOBER trial: OCT-guided or angiography-guided PCI in complex bifurcation lesions

29 Aug 2023

Dejan Milasinovic provides his take on the final results of the OCTOBER trial which were presented by Lene Nyhus Andreasen during the ESC 2023 congress in Amsterdam.

Dejan Milasinovic

Author

Dejan Milasinovic
The OCTOBER trial: OCT-guided or angiography-guided PCI in complex bifurcation lesions

Stepwise provisional versus systematic culotte for stenting of true coronary bifurcation lesions: five-year follow-up of the multicentre randomised EBC TWO Trial

16 Jun 2023

The investigator initiated, multicentre, randomised, EBC TWO trial compared a provisional strategy with a systematic culotte technique in patients with true non-LMS bifurcation disease. At one year, there was no difference between the groups in terms of the composite endpoint of all-cause mortality, MI or TVR....

Nicola Ryan

Reviewer

Nicola Ryan
Stepwise provisional versus systematic culotte for stenting of true coronary bifurcation lesions: five-year follow-up of the multicentre randomised EBC TWO Trial

The 17th expert consensus document of the European Bifurcation Club – techniques to preserve access to the side branch during stepwise provisional stenting

15 Jun 2023

Provisional stenting (PS) is the default approach for treating most coronary bifurcation lesions (CBL). The side branch (SB) can be compromised after main vessel (MV) stenting in up to 6-18 % of cases. The 17th Expert consensus document of the European Bifurcation Club details strategies for...

Reviewer

Aaysha Cader

Reviewer

Ali Nazmi Calik
The 17th expert consensus document of the European Bifurcation Club – techniques to preserve access to the side branch during stepwise provisional stenting

Distal left main bifurcation restenosis: how should I treat?

30 May 2023

Watch the replay of the 4th webinar of this series on bifurcation with G. Stankovic, N. Gonzalo and A. Banning. You will learn to understand the mechanisms of in-stent restenosis following left main PCI and much more.

Distal left main bifurcation restenosis: how should I treat?

DK Crush for distal LM bifurcation: pearls and pitfalls

26 May 2023

Watch the replay of the 3rd webinar of this series on bifurcation with G. Stankovic, T. Johnson and M. Lesiak. You will revisit optimal steps of DK Crush and much more.

DK Crush for distal LM bifurcation: pearls and pitfalls

What is the role of imaging and physiology in complex bifurcation PCI?

Gabor Toth and Mariano Pellicano share some thoughts and perspectives on the role of coronary physiology and imaging in complex bifurcation PCI.

While physiology is an invaluable aid in understanding the functional relevance of a stenosis or circumflex bifurcation, imaging is a fantastic tool for understanding anatomy, for monitoring...

What is the role of imaging and physiology in complex bifurcation PCI?