State of the art

Percutaneous coronary intervention of bifurcation lesions

EuroIntervention 2022;18:e273-e291. DOI: 10.4244/EIJ-D-21-01065

David Hildick-Smith
David Hildick-Smith1, MD; Sandeep Arunothayaraj1, MBBS; Goran Stankovic2, MD, PhD; Shao-Liang Chen3, MD, PhD
1. Sussex Cardiac Centre, University Hospitals Sussex NHS Trust, Brighton, United Kingdom; 2. Department of Cardiology, University Clinical Center of Serbia, and Faculty of Medicine, University of Belgrade, Belgrade, Serbia; 3. Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Bifurcation coronary artery disease is common as the development of atherosclerosis is facilitated by altered endothelial shear stress. Multiple anatomical and physiological factors need to be considered when treating bifurcation lesions. To achieve optimal results, various stenting techniques have been developed, each with benefits and limitations. In this state-of-the-art review we describe technically important characteristics of bifurcation lesions and summarise the evidence supporting contemporary bifurcation techniques.

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