TY - JOUR
T1 - Treatment of coronary bifurcation lesions, part II
T2 - implanting two stents. The 16th expert consensus document of the European Bifurcation Club
AU - Lassen, Jens Flensted
AU - Albiero, Remo
AU - Johnson, Thomas W.
AU - Burzotta, Francesco
AU - Lefèvre, Thierry
AU - Iles, Tinen L.
AU - Pan, Manuel
AU - Banning, Adrian P.
AU - Chatzizisis, Yiannis S.
AU - Ferenc, Miroslaw
AU - Dzavik, Vladimir
AU - Milasinovic, Dejan
AU - Darremont, Olivier
AU - Hildick-Smith, David
AU - Louvard, Yves
AU - Stankovic, Goran
N1 - Publisher Copyright:
© EuroIntervention.All rights reserved.
PY - 2022/8
Y1 - 2022/8
N2 - The European Bifurcation Club (EBC) supports a continuous review of the field of coronary artery bifurcation interventions and aims to facilitate a scientific discussion and an exchange of ideas on the management of bifurcation disease. The recent focus of meetings and consensus statements has been on the technical issues in bifurcation stenting, recognising that the final result of a bifurcation procedure and the long-term outcome for our patients are strongly influenced by factors, including preprocedural strategy, stenting technique selection, performance of optimal procedural steps, the ability to identify and correct complications and finally, and most important, the overall performance of the operator. Continuous refinement of bifurcation stenting techniques and the promotion of education and training in bifurcation stenting techniques represent a major clinical need. Accordingly, the consensus from the latest EBC meeting in Brussels, October 2021, was to promote education and training in bifurcation stenting based on the EBC principle. Part II of this 16th EBC consensus document aims to provide a step-by-step overview of the pitfalls and technical troubleshooting during the implantation of the second stent either in the provisional stenting (PS) strategy or in upfront 2-stent techniques (e.g., 2-stent PS pathway and double kissing crush stenting). Finally, a detailed overview and discussion of the numerous modalities available to provide continuous education and technical training in bifurcation stenting techniques are discussed, with consideration of their future application in enhancing training and practice in coronary bifurcation lesion treatment.
AB - The European Bifurcation Club (EBC) supports a continuous review of the field of coronary artery bifurcation interventions and aims to facilitate a scientific discussion and an exchange of ideas on the management of bifurcation disease. The recent focus of meetings and consensus statements has been on the technical issues in bifurcation stenting, recognising that the final result of a bifurcation procedure and the long-term outcome for our patients are strongly influenced by factors, including preprocedural strategy, stenting technique selection, performance of optimal procedural steps, the ability to identify and correct complications and finally, and most important, the overall performance of the operator. Continuous refinement of bifurcation stenting techniques and the promotion of education and training in bifurcation stenting techniques represent a major clinical need. Accordingly, the consensus from the latest EBC meeting in Brussels, October 2021, was to promote education and training in bifurcation stenting based on the EBC principle. Part II of this 16th EBC consensus document aims to provide a step-by-step overview of the pitfalls and technical troubleshooting during the implantation of the second stent either in the provisional stenting (PS) strategy or in upfront 2-stent techniques (e.g., 2-stent PS pathway and double kissing crush stenting). Finally, a detailed overview and discussion of the numerous modalities available to provide continuous education and technical training in bifurcation stenting techniques are discussed, with consideration of their future application in enhancing training and practice in coronary bifurcation lesion treatment.
KW - bifurcation
KW - drug-eluting stent
KW - left main
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U2 - 10.4244/EIJ-D-22-00166
DO - 10.4244/EIJ-D-22-00166
M3 - Article
C2 - 35570753
AN - SCOPUS:85136175365
SN - 1774-024X
VL - 18
SP - 457
EP - 470
JO - EuroIntervention
JF - EuroIntervention
IS - 6
ER -