Bifurcation lesions

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.

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.

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....

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...

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.

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.

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...

Want more training on bifurcation stenting? Learn from the case of this 75-year-old active man, a retired engineer, suffering from effort angina CCS 3 for 6 months, referred to the centre by his cardiologist for a coronary CT scan. He is a former smoker, has a...

Watch this session to learn when a provisional stent strategy is appropriate for complex bifurcation lesions, discover optimization techniques for provisional stenting, and understand the scenarios that necessitate stenting the side branch.

As Alejandro Travieso explains, physiology and imaging are complementary to achieve good assessment of left main PCI. Dejan Milasinovic adds that different imaging tools can be used in different patients, so practitioners may choose between OCT and IVUS, depending on their main target of interest.

Find out the specifics...