Percutaneous coronary intervention for obstructive bifurcation lesions: the 14th consensus document from the European

Adrian P Banning1, Jens Flensted Lassen, Francesco Burzotta

  • 1Department of Cardiology, Radcliffe Department of Medicine, John Radcliffe Hospital, Oxford University Hospitals, Oxford, United Kingdom.

Insights

The European Bifurcation Club recommends a provisional approach for bifurcation stenosis, emphasizing careful planning. Optimal stent deployment and expansion are crucial for long-term success when two stents are needed.

Area of Science:

  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Bifurcation lesions represent a complex challenge in percutaneous coronary intervention.
  • Optimal treatment strategies are essential for improving patient outcomes.

Purpose of the Study:

  • To outline the European Bifurcation Club's recommended approach for managing bifurcation stenosis.
  • To highlight key considerations for achieving successful long-term results.

Main Methods:

  • The study details a recommended sequential provisional approach for bifurcation stenosis.
  • It emphasizes meticulous lesion assessment and strategic planning.
  • Consideration is given to techniques for cases requiring dual stenting.

Main Results:

  • A provisional strategy is recommended for most bifurcation lesions.
  • Careful stent deployment and optimal expansion are critical for dual stenting scenarios.
  • These measures are essential for achieving favorable long-term outcomes.

Conclusions:

  • The European Bifurcation Club advocates for a structured, provisional approach to bifurcation stenosis.
  • Meticulous technique, particularly in dual stenting, is paramount for successful intervention.

Related Concept Videos

Nursing Interventions I: Taxonomy of Nursing Interventions01:03

Nursing Interventions I: Taxonomy of Nursing Interventions

Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.6K
Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.8K
Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.4K
Formats for Nursing Documentation01:28

Formats for Nursing Documentation

Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.9K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.1K
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.7K