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European Heart Journal 2008 29(6):704-706; doi:10.1093/eurheartj/ehn054
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Treatment of coronary bifurcations: might less be more?

Emmanouil S. Brilakis1 and Peter B. Berger2,*

1 University of Texas Southwestern Medical School, Dallas, TX, USA
2 Geisinger Center for Clinical Studies, 100 North Academy Avenue, MC 44-00, Danville, PA 17822, USA

* Corresponding author. Email address: pbberger@geisinger.edu

This editorial refers to ‘Physiological evaluation of the provisional side branch intervention strategy for bifurcation lesions using fractional flow reserve’ {dagger} by B.-K. Koo et al., on page 726

Footnotes

The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.

The first 150 words of the full text of this article appear below.

Percutaneous coronary interventions (PCIs) on coronary arteries in which the lesion involves a clinically significant side branch, termed a bifurcation lesion, are among the most challenging lesions for intervention.1 Coronary occlusions are often cited as the most challenging type of lesion, but an unsuccessful PCI on a coronary occlusion is rarely associated with a clinically important event, and initial success is only rarely complicated by late adverse events. In contrast, PCI of bifurcation lesions is associated with an unusually high risk, perhaps the highest risk, for both early and late complications. For every bifurcation lesion on which a PCI is attempted, two major procedural questions must be answered: (i) should the side branch be treated in addition to the main branch; and, if the answer . . . [Full Text of this Article]


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Related articles in EHJ:

Physiological evaluation of the provisional side-branch intervention strategy for bifurcation lesions using fractional flow reserve
Bon-Kwon Koo, Kyung-Woo Park, Hyun-Jae Kang, Young-Seok Cho, Woo-Young Chung, Tae-Jin Youn, In-Ho Chae, Dong-Ju Choi, Seung-Jae Tahk, Byung-Hee Oh, Young-Bae Park, and Hyo-Soo Kim
EHJ 2008 29: 726-732. [Abstract] [Full Text]