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Percutaneous coronary intervention for coronary bifurcation disease: 11 consensus document from the European Bifurcation Club

EuroIntervention, ISSN: 1969-6213, Vol: 12, Issue: 1, Page: 38-46
2016
  • 202
    Citations
  • 0
    Usage
  • 138
    Captures
  • 0
    Mentions
  • 1,467
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    202
    • Citation Indexes
      198
    • Clinical Citations
      3
      • PubMed Guidelines
        3
    • Policy Citations
      1
      • 1
  • Captures
    138
  • Social Media
    1,467
    • Shares, Likes & Comments
      1,467
      • Facebook
        1,467

Article Description

Coronary bifurcations are involved in 15-20% of all percutaneous coronary interventions (PCI) and remain one of the most challenging lesions in interventional cardiology in terms of procedural success rate as well as long-term cardiac events. The optimal management of bifurcation lesions is, despite a fast growing body of scientific literature, the subject of considerable debate. The European Bifurcation Club (EBC) was initiated in 2004 to support a continuous overview of the field, and aims to facilitate a scientific discussion and an exchange of ideas on the management of bifurcation disease. The EBC hosts an annual, compact meeting, dedicated to bifurcations, which brings together physicians, engineers, biologists, physicists, epidemiologists and statisticians for detailed discussions. Every meeting is finalised with a consensus statement which reflects the unique opportunity of combining the opinions of interventional cardiologists with the opinions of a large variety of other scientists on bifurcation management. The present 11 EBC consensus document represents the summary of the up-to-date EBC consensus and recommendations. It points to the fact that there is a multitude of strategies and approaches to bifurcation stenting within the provisional strategy and in the different two-stent strategies. The main EBC recommendation for PCI of bifurcation lesions remains to use main vessel (MV) stenting with a proximal optimisation technique (POT) and provisional side branch (SB) stenting as a preferred approach. The consensus document covers a moving target. Much more scientific work is needed in non-left main (LM) and LM bifurcation lesions for continuous improvement of the outcome of our patients.

Bibliographic Details

Lassen, Jens Flensted; Holm, Niels Ramsing; Banning, Adrian; Burzotta, Francesco; Lefèvre, Thierry; Chieffo, Alaide; Hildick-Smith, David; Louvard, Yves; Stankovic, Goran

Europa Digital & Publishing

Medicine

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