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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

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Difficult CHIP cases, different approach with different presentation

17 May 2023 – From EuroPCR 2023

Consult this session to explore strategies for managing procedure-related coronary perforation, mastering complex PCI in unplanned scenarios, and optimizing left main bifurcation stenting techniques. Gain valuable insights into the role of imaging in left main PCI, enhancing your diagnostic and interventional skills.

Difficult CHIP cases, different approach with different presentation

Complex bifurcation PCI - LIVE case

17 May 2023 – From EuroPCR 2023

Study the case of this 69-year-old male patient with recent PCI on LAD presenting chronic coronary syndrome. Angiography showed calcified stenosis on bifurcation of proximal CX and large obtuse marginal 1, Medina 0-1-1.

The PCI strategy was an OCT-guided TAP technique: 

7F guiding catheter, predilatation with semi-compliant and non-compliant...

Complex bifurcation PCI - LIVE case

Bifurcation with provisional stent strategy - LIVE case

17 May 2023 – From EuroPCR 2023

Learn more about a 65-year-old diabetic male patient with BMI 31, NYHA III shortness of breath, and a mid-calcified lesion on proximal and mid-part of LAD. QFR and µFR were significant for the 2 LAD lesions (0.73 and 0.74). The proximal lesion was a bifurcation Medina 1-0-1...

Bifurcation with provisional stent strategy - LIVE case

Bifurcation PCI

17 May 2023 – From EuroPCR 2023

View these cases that revolve around bifurcation PCI and enhance your skills in managing challenging situations. Topics covered include in particular complicated bifurcation stenting as well as hybrid culotte complex strategy. Explore these cases and much more and uncover numerous other valuable insights!

Bifurcation PCI

Advances in the management of bifurcation lesions

17 May 2023 – From EuroPCR 2023

Follow this conversation between Rony Mathew, Rishi Sethi and Ashok Seth at EuroPCR 2023 and learn more about advances in the management of bifurcation lesions.

At a time when the number of patients suffering from bifurcation lesions is constantly rising and represents a major challenge, take a closer...

Advances in the management

Management of complex non-culprit multivessel disease after STEMI - LIVE case

16 May 2023 – From EuroPCR 2023

Analyze the case of a 69-year-old non-diabetic male patient with mild chronic kidney disease, acute inferior MI and primary PCI on the postero-lateral RCA, whose angiography showed diffuse disease on the proximal CX and second OM (QFR: 0.65), and an intermediate prox LAD lesion (QFR: 0.90).

IVUS...

Management of complex non-culprit MVD after STEMI - LIVE case

EuroPCR 2023 Hotlines/Late-Breaking clinical data: focus on left main and bifurcation PCI

16 May 2023 – From EuroPCR 2023

Listen to the presenters give you the latest information on left main and bifurcation from a series of late-breaking trials presented at EuroPCR 2023:

- The five-year follow-up of the EBC TWO 5-year follow-up study, which evaluated provisional versus culotte intervention for coronary bifurcations
- KISS: the benefit...

Hotlines on left main and bifurcation lesions

Left main and bifurcations: latest clinical data applied to practical cases

16 May 2023 – From EuroPCR 2023

In this session, watch a case of intravascular imaging guided LM PCI from the ROLEX Registry, learn more about EBC MAIN 3-year results, see a case presentation with use of FFRangio, find out more about the KISS Trial, and follow the debates about all these learnings.

Left main and bifurcations:

Left main bifurcation treatment with Ultrathin Supraflex Cruz stent: from non-invasive angiography to invasive assessment of anatomy and physiology

16 May 2023 – From EuroPCR 2023

In this session, experience a multimodality approach, including CTA, angiography and OCT, and learn how to reestablish good hemodynamic of the bifurcation, by analyzing the case of an 81-year-old man with no risk factors, no relevant comorbidities, and no treatment, who presented with crescendo effort angina.

Left main bifurcation

Bifurcation PCI with provisional technique

15 May 2023 – From EAPCI-PCR Fellows course 2023

Consult these slides to learn how to assess bifurcation lesions, to get familiar with the steps of provisional approach and to understand causes and solutions for the most common pitfalls.

Bifurcation pci with provisional