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Active SB-P Versus Conventional Approach to the Protection of High-Risk Side Branches: The CIT-RESOLVE Trial Developing a Mobile Application for Global Cardiovascular Education One Versus 2-stent Strategy for the Treatment of Bifurcation Lesions in the Context of a Coronary Chronic Total Occlusion: A Multicenter Registry Double-Kiss-Crush Bifurcation Stenting: Step-by-Step Troubleshooting Percutaneous Coronary Intervention For Bifurcation Coronary Lesions.The 15th Consensus Document from the European Bifurcation Club T and small protrusion (TAP) vs double kissing crush technique: Insights from in-vitro models Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: the Nordic bifurcation study Optimal Fluoroscopic Projections of Coronary Ostia and Bifurcations Defined by Computed Tomographic Coronary Angiography ‘Small bifurcation?’ CT myocardial mass volume measurements change therapeutic strategy in coronary artery disease Contemporary techniques in percutaneous coronary intervention for bifurcation lesions

Review Article2018 Feb 2;13(15):e1804-e1811.

JOURNAL:EuroIntervention. Article Link

Step-by-step manual for planning and performing bifurcation PCI: a resource-tailored approach

Milasinovic D, Wijns W, Ntsekhe M et al. Keywords: drug-eluting stent; bifurcation; bare metal stent

ABSTRACT


As bifurcation PCI can often be resource-demanding due to the use of multiple guidewires, balloons and stents, different technical options are sometimes being explored, in different local settings, to meet the need of optimally treating a patient with a bifurcation lesion, while being confronted with limited material resources. Therefore, it seems important to keep a proper balance between what is recognised as the contemporary state of the art, and what is known to be potentially harmful and to be discouraged. Ultimately, the resource-tailored approach to bifurcation PCI may be characterised by the notion of minimum technical requirements for each step of a successful procedure. Hence, this paper describes the logical sequence of steps when performing bifurcationPCI with provisional SB stenting, starting with basic anatomy assessment and ending with the optimisation of MB stenting and the evaluation of the potential need to stent the SB, suggesting, for each step, the minimum technical requirement for a successful intervention.