European Heart Journal Advance Access originally published online on February 2, 2007
European Heart Journal 2007 28(4):383-385; doi:10.1093/eurheartj/ehl252
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
Stent treatment of coronary artery bifurcation lesions
2014 Cardiac Catheterisation Laboratory, Department of Cardiology, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark
* Corresponding author. Tel: +45 35453693; fax: +45 35452705. E-mail address: erikjoergensen@rh.hosp.dk
This editorial refers to The clinical outcome of percutaneous treatment of bifurcation lesions in multivessel coronary artery disease with the sirolimus-eluting stent: insights from the Arterial Revascularization Therapies Study Part II (ARTS II)
by Tsuchida et al., on page 433
doi:10.1093/eurheartj/ehl539
| The first 150 words of the full text of this article appear below. |
In percutaneous coronary interventions (PCIs), the treatment of bifurcation lesions is a challenge to the interventional cardiologist. PCI operators, in general, use the term coronary artery bifurcation (from latin furca = fork, branch): (i) when a coronary artery divides into two equally important branches or (ii) when a main branch gives away a side branch, which is large enough to be of haemodynamic significance, whereas when a large coronary artery gives away a small, haemodynamically unimportant side branch, the term bifurcation is less used.
There is no consensus on when to use the term bifurcation lesion. Some PCI operators use this term for any lesion in or near a bifurcation, regardless they might be able to successfully stent the lesion using one wire and one stent only, whereas others reserve the term bifurcation lesion for complex lesions requiring two wires and intervention of both distal branches. The risk of
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Related articles in EHJ:
- The clinical outcome of percutaneous treatment of bifurcation lesions in multivessel coronary artery disease with the sirolimus-eluting stent: insights from the Arterial Revascularization Therapies Study part II (ARTS II)
- Keiichi Tsuchida, Antonio Colombo, Thierry Lefèvre, Keith G. Oldroyd, Victor Guetta, Giulio Guagliumi, Wolfgang von Scheidt, Witold Ruzyllo, Christian W. Hamm, Marco Bressers, Hans-Peter Stoll, Kristel Wittebols, Dennis J. Donohoe, and Patrick W. Serruys
EHJ 2007 28: 433-442.[Abstract] [Full Text]
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