The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Unravelling the complexities of the coronary bifurcation: is this raising a few eyebrows?

EuroIntervention 2012;7:1133-1141. DOI: 10.4244/EIJV7I10A182

1. Department of Interventional Cardiology, Erasmus MC, Thoraxcenter, Rotterdam, The Netherlands; 2. Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan
The coronary bifurcation has long proven to be a common but challenging lesion subset that the interventional cardiologist must face.1-3 Despite the general consensus that the “simpler is better approach” to be the preferred treatment strategy1,4 –as endorsed by the European Bifurcation Club2– practices amongst interventional cardiologists in certain bifurcation lesion subtypes differ, with the quote that “the simplest approach is not always the best approach.”1 Specifically that in selected cases an upfront 2 stent strategy may be preferable to the relatively simple provisional T-stenting approach.

Improvements to the provisional T-stenting approach are increasingly being reported in the literature: ...

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