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Step-by-step manual for planning and performing bifurcation PCI: a resource-tailored approach

OPEN EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology | 28 Nov 2017

D Milasinovic, W Wijns, M Ntsekhe, F Hellig, A Mohamed and G Stankovic
As bifurcation PCI can often be resource demanding due to the use of multiple guidewires, balloons and stents, different technical options are sometimes being explored, in different local settings, to meet the need of optimally treating a patient with a bifurcation lesion, while being confronted with limited material resources. Thereby, it seems important to keep a proper balance between what is recognized as the contemporary state-of-the-art, and, what is known as potentially harmful, and to be discouraged. Ultimately, the resource-tailored approach to bifurcation PCI may be characterized by the notion of minimum technical requirements for each step of a successful procedure. Hence, this paper describes the logical sequence of steps when performing bifurcation PCI with provisional SB stenting, starting with basic anatomy assessment and ending with the optimization of MB stenting and the evaluation of the potential need to stent the SB, suggesting, for each step, the minimum technical requirement of a successful intervention.
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Optimization, Requirement, Potential, Stent
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