Bifurcations 1984-2001
TCTMD Expert Presentations
| Complex Stenting: Bifurcations | T. Lefevre |
| Emerging Clinical Indications for Coronary Stenting | M. Morice |
| The Interventional Approach to Bifurcation Lesions | I. Moussa |
TCT 2001 Abstracts
CCT
2001 The Book
Chapter 8. Bifurcation lesion
Directional atherectomy prior to stenting in
bifurcation lesions: a matched comparison study with stenting alone
Karvouni E, et al.
Catheter Cardiovasc Interv 2001;53:12-20
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11329211
Immediate and long-term clinical and
angiographic results from Wiktor stent treatment for true bifurcation narrowings
Anzuini A, et al.
Am J Cardiol 2001;88:1246-50 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11728351
TCT 2000 Expert Presentation Slides
Interventional Treatment of Coronary Bifurcation Lesions
Reimers B and Colombo A
Centro Cuore, Milano; Lenox Hill Hospital, New York.
Click here to view the full article
Immediate and long-term results of "T" stenting for bifurcation coronary lesions
Sheiban I || Colombo A
Am J Cardiol 2000;85:1141-4, A9
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010781768
The technique of "T" stenting provides excellent immediate results.
However, long-term outcome with a restenosis rate of 63% is not encouraging.
Bifurcation lesions: two stents versus one stent: immediate and follow-up results
Yamashita T || Colombo A
J Am Coll Cardiol 2000;35:1145-51
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010758954
For the treatment of true bifurcation lesions, a complex strategy of stenting both vessels provided no advantage in terms of procedural success and late outcome versus a simpler strategy of stenting only the parent
vessel.
The skirt technique: A stenting technique to treat a lesion immediately proximal to the bifurcation (pseudobifurcation)
Kobayashi Y || Moses JW
Catheter Cardiovasc Interv 2000;51:347-51
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0011066124
With this technique, a stent is mounted on two balloon catheters and advanced into the lesion immediately proximal to the bifurcation until the distal portion of the balloon catheters enters each branch at the
bifurcation. This is followed by kissing balloon inflation for stent
deployment. In all the 10 cases reported, the final angiogram showed a good result at the lesion site and no ostial compromise of any of the
branches.
Stenting of bifurcation lesions: classification, treatments, and results [see
Editorial]
Lefevre T || Piechaud JF
Catheter Cardiovasc Interv 2000;49:274-83
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010700058
This single-center observational study evaluated a strategy of systematic coronary stenting in bifurcation lesions involving a side branch > 2.2 mm ( 373 bifurcation lesions treated in 35
months). The main branch (2.78 +/- 0.42 mm reference diameter) was stented in 96.3% of cases and the side branch (2.44 +/- 0.43 mm) in 63.2% (the two branches were stented in 59.5% of
cases). At 7-months, MACE rate was 21.6%, including a TVR rate of 17.2%. Results were influenced not only by the learning curve but also by the use of tubular stents in the main branch and by final kissing balloon
inflation.
Immediate and long-term outcome of intracoronary stent implantation for true bifurcation lesions
Al Suwaidi J || Holmes DR Jr.
J Am Coll Cardiol 2000;35:929-36
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=0010732890
In this study, 131 patients with bifurcation lesions were treated with > or =1
stent. Patients were divided in Group 1 ( 77 patients treated with a stent in one branch and
PTCA, with or without atherectomy, in the side branch), and Group 2 (54 patients who underwent stent deployment in both
branches: 19 Y-stenting and 33 T-stenting). At 1 year, MACE rate was not different between the 2
groups. MACE were higher with Y-stenting compared with T- stenting (86.3% vs. 30.4%, p = 0.004). In
conclusion, stenting of both branches offers no advantage over stenting one branch and performing balloon angioplasty of the other
branch.
Rotational atherectomy for bifurcation
lesions of the coronary circulation: technique and initial experience
Rihal CS, et al.
Int J Cardiol 1998;65:1-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9699924
Coronary interventions at a crossroads: the
bifurcation stenosis
Oesterle SN.
J Am Coll Cardiol 1998;32:1853-4.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9857862
Mechanical debulking versus balloon
angioplasty for the treatment of true bifurcation lesions
Dauerman HL, et al.
J Am Coll Cardiol 1998;32:1845-52.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9857861
Placement of coronary stents in bifurcation
lesions by the "culotte" technique
Chevalier B, et al.
Am J Cardiol 1998;82:943-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9794349
Coronary stenting of bifurcation lesions
using "T" or "reverse Y" configuration with Wiktor stent
Carrie D, et al.
Am J Cardiol 1998;82:1418-21, A8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9856930
Angioplasty and stenting of an unprotected
left main bifurcation lesion
Morrison DA, et al.
Cathet Cardiovasc Diagn 1997;41:174-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9184292
New balloon expandable stent for bifurcation
lesions
Lowe HC, et al.
Cathet Cardiovasc Diagn 1997;42:235-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=9328720
Outcome of narrowing related side branches
after high-speed rotational atherectomy
Walton AS, et al.
Am J Cardiol 1996;77:370-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8602565
Kissing Palmaz-Schatz stents for coronary
bifurcation stenoses
Teirstein PS.
Cathet Cardiovasc Diagn 1996;37:307-10.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8974813
The V-stent: a novel technique for coronary
bifurcation stenting
Schampaert E, et al.
Cathet Cardiovasc Diagn 1996;39:320-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8933984
Procedural outcome and follow-up results of
balloon angioplasty versus new device interventions for treatment of true
bifurcation stenoses
Gambhir DS, et al.
Indian Heart J 1996;48:389-94, 430.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8908827
Coronary 'Y' stenting: a technique for
angioplasty of bifurcation stenoses
Fort S, et al.
Can J Cardiol 1996;12:678-82.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8689539
Pullback atherectomy (PAC) for the treatment
of complex bifurcation coronary artery disease
Fischell TA, et al.
Cathet Cardiovasc Diagn 1996;38:218-21.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8776534
"T"-shaped stent placement: a
technique for the treatment of dissected bifurcation lesions
Carrie D, et al.
Cathet Cardiovasc Diagn 1996;37:311-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8974814
Stent jail: a minimum-security prison
Caputo RP, et al.
Am J Cardiol 1996;77:1226-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8651101
A comparison of debulking versus dilatation
of bifurcation coronary arterial narrowings (from the CAVEAT I Trial). Coronary
Angioplasty Versus Excisional Atherectomy Trial-I
Brener SJ, et al.
Am J Cardiol 1996;78:1039-41.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8916485
Percutaneous transluminal coronary
angioplasty of aorta ostial, non- aorta ostial, and branch ostial stenoses:
acute and long-term outcome
Tan KH, et al.
Eur Heart J 1995;16:631-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7588894
Follow-up patency of side branches covered
by intracoronary Palmaz- Schatz stent
Pan M, et al.
Am Heart J 1995;129:436-40.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7872167
Techniques for Palmaz-Schatz stent
deployment in lesions with a large side branch
Nakamura S, et al.
Cathet Cardiovasc Diagn 1995;34:353-61.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7621549
Coronary angioplasty of bifurcational
lesions with the protecting branch technique using 6 French guiding catheter
Metz D, et al.
Cathet Cardiovasc Diagn 1995;35:343-7; discussion 348-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7497508
Coronary angioplasty of branch vessels
associated with an extreme angle take-off
Gershony G, et al.
Cathet Cardiovasc Diagn 1995;36:356-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8719391
Directional atherectomy for the dilatation
of bifurcation stenoses in the coronary arteries
Gambhir DS, et al.
Indian Heart J 1995;47:115-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7590835
Fate of side branches after intracoronary
implantation of the Gianturco- Roubin flex-stent for acute or threatened closure
after percutaneous transluminal coronary angioplasty
Mazur W, et al.
Am J Cardiol 1994;74:1207-10.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7977091
Acute procedural results in the treatment of
30 coronary artery bifurcation lesions with a double-wire atherectomy technique
for side- branch protection
Lewis BE, et al.
Am Heart J 1994;127:1600-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8197989
Side-branch occlusion with directional
coronary atherectomy: incidence and risk factors
Campos-Esteve MA, et al.
Am Heart J 1994;128:686-90.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=7942438
Impact of directional atherectomy on
adjacent branch vessels
Altmann DB, et al.
Am J Cardiol 1993;72:351-3.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=8342518
Coronary angioplasty of bifurcational
lesions without protection of large side branches
Ciampricotti R, et al.
Cathet Cardiovasc Diagn 1992;27:191-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=1423574
Salvage of branch vessels during bifurcation
lesion angioplasty: acute and long-term follow-up
Weinstein JS, et al.
Cathet Cardiovasc Diagn 1991;22:1-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=1995167
Angioplasty of coronary bifurcation stenoses:
immediate and long-term results of the protecting branch technique
Renkin J, et al.
Cathet Cardiovasc Diagn 1991;22:167-73.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2013078
The kissing balloon technique with two
over-the-wire balloon catheters through a single 8-French guiding catheter
den Heijer P, et al.
Cathet Cardiovasc Diagn 1991;23:47-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=1863962
Lesions in side branches of arteries having
undergone percutaneous transluminal coronary angioplasty: a histopathologic
study
Morimoto S, et al.
Am Heart J 1990;120:864-72.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2220539
A new approach for dilation of bifurcation
stenoses: the dual probe technique
O'Keefe JH, Jr., et al.
Mayo Clin Proc 1989;64:277-81.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2523013
Coronary bifurcation stenoses: the kissing
balloon Probe technique via a single guiding catheter
Myler RK, et al.
Cathet Cardiovasc Diagn 1989;16:267-78.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2523247
Simplified two-wire technique for
bifurcation lesions during coronary angioplasty
Bowser MA, et al.
Cathet Cardiovasc Diagn 1989;16:136-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2521574
Side branch occlusion during coronary
angioplasty: incidence, angiographic characteristics, and outcome
Arora RR, et al.
Cathet Cardiovasc Diagn 1989;18:210-2.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2605622
Simultaneous double balloon coronary
angioplasty through a single guiding catheter for bifurcation lesions
Thomas ES, et al.
Cathet Cardiovasc Diagn 1988;15:260-4
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2976308
Angioplasty techniques for stenoses
involving coronary artery bifurcations
Oesterle SN.
Am J Cardiol 1988;61:29G-32G.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2966562
Double-wire angioplasty of the right
coronary artery bifurcational stenosis
Nath A, et al.
Cathet Cardiovasc Diagn 1988;14:37-40
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2964903
Double long-wire technique for percutaneous
transluminal coronary angioplasty for narrowings at major bifurcations
Vallbracht C, et al.
Am J Cardiol 1987;60:907-9.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2959142
Three-wire technique: a unique approach to
percutaneous transluminal coronary angioplasty of a trifurcation lesion
Hartzler GO.
Cathet Cardiovasc Diagn 1987;13:174-7.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2954646
Percutaneous transluminal coronary
angioplasty of a bifurcation narrowing using the kissing wire monorail balloon
technique
Finci L, et al.
Am J Cardiol 1987;60:375-6.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2956851
Angioplasty at coronary bifurcations:
single-guide, two-wire technique
Oesterle SN, et al.
Cathet Cardiovasc Diagn 1986;12:57-63
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2937537
"Crossing balloons:" a new
technique for complex angioplasty
Nakhjavan FK, et al.
J Am Coll Cardiol 1986;8:980-1.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2944938
Balloon angioplasty of coronary bifurcation
lesions: the kissing balloon technique
George BS, et al.
Cathet Cardiovasc Diagn 1986;12:124-38
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=2939962
Effects of percutaneous transluminal
coronary angioplasty on lesion- associated branches
Vetrovec GW, et al.
Am Heart J 1985;109:921-5.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=3158186
Angioplasty for dilatation of complex
coronary artery bifurcation stenoses
Pinkerton CA, et al.
Am J Cardiol 1985;55:1626-8.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=3159252
Experience with a technique for coronary
angioplasty of bifurcational lesions
Zack PM, et al.
Cathet Cardiovasc Diagn 1984;10:433-43
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=6240319
Risk of side branch occlusion during
coronary angioplasty
Meier B, et al.
Am J Cardiol 1984;53:10-4.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=6229173
Kissing balloon coronary angioplasty
Meier B.
Am J Cardiol 1984;54:918-20.
http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=6237573