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Bifurcation stenting
A 47-year-old male presented with angina and a history of hypertension and smoking. Tests showed T-wave inversion and normal left ventricular function. He underwent bifurcation stenting of a true bifurcation lesion where both the main branch and side branch were significantly narrowed. The current preferred approach for treating non-true bifurcations is provisional stenting of the main vessel with optional stenting of the side branch. A two-stent strategy may be used for large side branches supplying a significant area of myocardium, especially when the side branch arises at a shallow angle.
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- 5. Strategy of stentingthe MV with provisional SB stenting is the current favored approach. Two stents strategy may be preferred, such as in the presence of a large SB that supplies a significant area of myocardium especially when side branch arises at a shallow angle.
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- 9. Medina Classification ofBifurcation Lesions Latib, A. et al. J Am Coll Cardiol Intv 2008;1:218-226 Copyright ©2008 American College of Cardiology Foundation. Restrictions may apply.
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- 12. SECOND STENT INSIDE BRANCH AFTER PROVISIONAL APPROACH T technique Modified T technique—SB stent first, when angle between MB & SB is near 90 degrees
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