Fundamentals of percutaneous coronary bifurcation interventions  

作　　者：Tamer Kırat 

机构地区：[1]Department of Cardiology,Yücelen Hospital,Muğla 48000,Turkey

出　　处：《World Journal of Cardiology》2022年第3期108-138,共31页世界心脏病学杂志（英文版）（电子版）

摘　　要：Coronary bifurcation lesions(CBLs)account for 15%-20%of all percutaneous coronary interventions.The complex nature of these lesions is responsible for poorer procedural,early and late outcomes.This complex lesion subset has received great attention in the interventional cardiac community,and multiple stenting techniques have been developed.Of these,the provisional stenting technique is most often the default strategy;however,the elective double stenting(EDS)technique is preferred in certain subsets of complex CBLs.The double kissing crush technique may be the preferred EDS technique because of its efficacy and safety in comparative trials;however,this technique consists of many steps and requires training.Many new methods have recently been added to the EDS techniques to provide better stent scaffolding and to reduce early and late adverse outcomes.Intravascular imaging is necessary to determine the interventional strategy and postinterventional results.This review discusses the basic concepts,contemporary percutaneous interventional technical approaches,new methods,and controversial treatment issues of CBLs.

关 键 词：Percutaneous coronary intervention Coronary artery disease Drug-eluting stents Bifurcation lesion Stenting technique Left main intervention 

分 类 号：R54[医药卫生—心血管疾病]