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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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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?

Left main and complex bifurcation stenting

18 May 2023 – From EuroPCR 2023

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...

Left main and complex bifurcation stenting

Can we use provisional stent strategy in complex bifurcation lesions?

18 May 2023 – From EuroPCR 2023

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.

Can we use provisional stent strategy in complex bifurcation lesions?

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

17 May 2023 – From EuroPCR 2023

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...

What is the role of intra-coronary physiology and imaging to guide left main bifurcation PCI?

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

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

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

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

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