Treatment of coronary bifurcation lesions, part I: implanting the first stent in the provisional pathway. The 16th expert consensus document of the European Bifurcation Club

Remo Albiero, Francesco Burzotta, Jens Flensted Lassen, Thierry Lefèvre, Adrian P. Banning, Yiannis S. Chatzizisis, Thomas W. Johnson, Miroslaw Ferenc, Manuel Pan, Olivier Darremont, David Hildick-Smith, Alaide Chieffo, Yves Louvard, Goran Stankovic

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

Stepwise layered provisional stenting (PS) is the most commonly used strategy to treat coronary bifurcation lesions (CBL). The term “stepwise layered” emphasises the versatility of this approach that allows the adjustment of the procedure plan according to the CBL complexity, starting with stent implantation in one branch and implantation of a second stent in the other branch only when required. A series of refinements have been implemented over the years to facilitate the achievement of predictable procedural results using this approach. However, despite its simplicity and versatility, operators using this technique require full knowledge of the pitfalls of each procedural step. Part I of this 16th European Bifurcation Club consensus paper provides a detailed step-by-step overview of the pitfalls and technical troubleshooting during the implantation of the first stent using the PS strategy for the treatment of CBL.

Original languageEnglish (US)
Pages (from-to)E362-E376
JournalEuroIntervention
Volume18
Issue number5
DOIs
StatePublished - Aug 2022

Keywords

  • bifurcation
  • drug-eluting stent
  • left main

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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