Bifurcation PCI : Physics & Philosophy of kissing & crushing strategy

Bifurcation PCI is a modern-day Cardiologist’s fascinating professional adventure within coronary arteries. Of course, the Intention is to do good for the patient. Bifurcation lesions (BFL) are a special subset of lesions, that looks challenging, more because of the potential biological aftermath following the delicate construction of a grade separator at a critical site. Mind you, it’s done within a live flowing artery and subsequently needs lifelong maintenance. Strategies for BFL Strictly committed* single stent strategy (Irrespective of what may come, LCX or LAD  pinching let me take care . Don’t worry strategy *May sound dangerous, but still, it doesn’t make other strategies less ominous)  Provisional single stent strategy with elective cross-over for truly poor result /cosmetic/peer satisfaction  purpose Provisional single stent with bail-out cross-over. Often happen as an emergency  (Not all techniques are amenable for this) Elective planned two stents (Still, flexible  to revert to single stent if the situation allows) Elective, strictly committed, prefixed  two-stent strategy  (No going back strategy/ Not really a professional PCI ) Always remember, SYNTAX or no SYNTAX CABG is the safe & best bet for many severely symptomatic patients, with complex as well as non-complex BFL lesions esp in diabetic patients. Wait, there are two more. 7. Please note, there is one benign strategy, that is...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized bbc 1 definition nordic bifurcation pci carina cullotte dk crush mini crush pot ptca scai acc aha guidlines Source Type: blogs