Technical Aspects of Provisional Stenting in Percutaneous Treatment of Complex Bifurcation Lesions

Journal
Article on Technical Aspects of Provisional Stenting in Percutaneous Treatment of Complex Bifurcation Lesions

Add this Moment to your Passport

Learn from this moment and keep it forever.
FREE
Add To Passport

Overview

Drug-eluting stent (DES) implantation using the 'provisional' approach is the gold standard for percutaneous treatment of patients with unselected bifurcated lesions. Nevertheless, many operators still consider the provisional approach unsuitable for coronary patients with complex bifurcation anatomies. Yet, the provisional approach may be so differently carried out that its procedural outcome is often unpredictable. Some technical renements may help to anticipate or manage procedural difculties, which may occur during the management of complex patients. We sought to overview the issues related with DES selection as well as some technical points, which may increase the effectiveness of provisional stenting. In particular, the DES characteristics inuencing bifurcation interventions and the technical renements, which may be considered during a provisional stenting procedure are discussed. Indeed, main vessel stent sizing, proximal optimisation, side branch protection modality, side branch rewiring, kissing balloon and side branch rescue techniques are all pivotal to increase the safety and efcacy of the provisional strategy especially in the setting of complex anatomies and patients.

Featuring

Francesco Burzotta : Organization - Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy

Carlo Trani : Organization - Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy

Loading Simple Education