Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

New approaches to ostial and bifurcation lesions.

Angela Hoye1, Wim J van der Giessen

  • 1Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands.

Journal of Interventional Cardiology
|November 18, 2004
PubMed
Summary

Treating complex coronary artery bifurcation lesions with percutaneous coronary intervention (PCI) is challenging. Optimal stenting techniques are crucial to prevent side branch occlusion and restenosis, improving patient outcomes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Inter- and intra-observer reliability and agreement of O2Pulse inflection during cardiopulmonary exercise testing: A comparison of subjective and novel objective methodology.

PloS one·2024
Same author

Global Chronic Total Occlusion Crossing Algorithm: JACC State-of-the-Art Review.

Journal of the American College of Cardiology·2021
Same author

Prospective cohort study of elderly patients with coronary artery disease: impact of frailty on quality of life and outcome.

Open heart·2020
Same author

No-reflow phenomenon and comparison to the normal-flow population postprimary percutaneous coronary intervention for ST elevation myocardial infarction: case-control study (NORM PPCI).

Open heart·2020
Same author

Association of Sex With Severity of Coronary Artery Disease, Ischemia, and Symptom Burden in Patients With Moderate or Severe Ischemia: Secondary Analysis of the ISCHEMIA Randomized Clinical Trial.

JAMA cardiology·2020
Same author

Exercise Training as a Mediator for Enhancing Coronary Collateral Circulation: A Review of the Evidence.

Current cardiology reviews·2019

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Medical Technology

Background:

  • Percutaneous coronary intervention (PCI) for coronary artery bifurcation lesions has lower success rates.
  • These interventions are linked to higher rates of major adverse cardiac events and restenosis.
  • Challenges include plaque shift, side branch occlusion, and suboptimal stent coverage.

Purpose of the Study:

  • To review current stenting technologies for treating coronary artery bifurcation lesions.
  • To analyze the relative merits of different interventional approaches.
  • To address the persistent challenges in managing these complex lesions.

Main Methods:

  • Review of available stenting technologies and techniques for bifurcation PCI.

Related Experiment Videos

  • Analysis of procedural challenges such as plaque shift and side branch compromise.
  • Evaluation of stent coverage and side branch access implications.

    • Main Results:

    • Current stenting strategies are not always optimally applied to diverse bifurcation anatomies.
    • Plaque shift and side branch occlusion remain significant procedural risks.
    • Inadequate or excessive stent coverage impacts side branch access and restenosis rates.

    Conclusions:

    • Effective management of bifurcation lesions requires careful selection of stenting techniques.
    • Addressing plaque shift and ensuring appropriate stent coverage are critical for procedural success.
    • Further optimization of technologies and techniques is needed to improve outcomes for PCI in bifurcation lesions.