OBJECTIVES: The study aim was to assess current procedural strategies and perceptions for percutaneous coronary intervention (PCI) involving bifurcations. METHODS: We distributed an online survey via email (8050 invitations) and social media. RESULTS: Among 440 responders, median annual PCI volumes were 15 cases (interquartile range [IQR], 10-29 cases) for left main (LM) and 50 cases (IQR, 27-73 cases) for non-LM (nLM) bifurcation lesions. Radial access use was reported in 51% of LM and 82% of nLM cases. An upfront 2-stent strategy, most commonly double-kissing (DK) crush, was reported in 49% of LM and 29% of nLM lesions. Bailout stenting during provisional stenting was reported in 26% of LM-PCIs, usually using the T and protrusion technique. In provisional stenting cases, most operators (<35%) did not report predilating the side branch, but routinely postdilated after successful provisional stenting (>85%), most often using both kissing-balloon inflation and the proximal optimization technique. Intravascular imaging was used in 80% of LM and 46% of nLM cases. CONCLUSIONS: Among the survey responders, the DK crush technique was the most frequently used 2-stent strategy for bifurcation PCIs. For LM lesions, bailout stenting was performed after provisional strategy in approximately 25% of cases. For nLM lesions, use of intravascular imaging and coronary physiology was lower than for LM lesions.
OBJECTIVES: The study aim was to assess current procedural strategies and perceptions for percutaneous coronary intervention (PCI) involving bifurcations. METHODS: We distributed an online survey via email (8050 invitations) and social media. RESULTS: Among 440 responders, median annual PCI volumes were 15 cases (interquartile range [IQR], 10-29 cases) for left main (LM) and 50 cases (IQR, 27-73 cases) for non-LM (nLM) bifurcation lesions. Radial access use was reported in 51% of LM and 82% of nLM cases. An upfront 2-stent strategy, most commonly double-kissing (DK) crush, was reported in 49% of LM and 29% of nLM lesions. Bailout stenting during provisional stenting was reported in 26% of LM-PCIs, usually using the T and protrusion technique. In provisional stenting cases, most operators (<35%) did not report predilating the side branch, but routinely postdilated after successful provisional stenting (>85%), most often using both kissing-balloon inflation and the proximal optimization technique. Intravascular imaging was used in 80% of LM and 46% of nLM cases. CONCLUSIONS: Among the survey responders, the DK crush technique was the most frequently used 2-stent strategy for bifurcation PCIs. For LM lesions, bailout stenting was performed after provisional strategy in approximately 25% of cases. For nLM lesions, use of intravascular imaging and coronary physiology was lower than for LM lesions.
Authors: Giuseppe Di Gioia; Jeroen Sonck; Miroslaw Ferenc; Shao-Liang Chen; Iginio Colaiori; Emanuele Gallinoro; Takuya Mizukami; Monika Kodeboina; Sakura Nagumo; Danilo Franco; Jozef Bartunek; Marc Vanderheyden; Eric Wyffels; Bernard De Bruyne; Jens F Lassen; Johan Bennett; Dobrin Vassilev; Patrick W Serruys; Goran Stankovic; Yves Louvard; Emanuele Barbato; Carlos Collet Journal: JACC Cardiovasc Interv Date: 2020-06-22 Impact factor: 11.195
Authors: Alfonso Jurado-Román; Belén Rubio-Alonso; Julio García-Tejada; Ignacio Sánchez-Pérez; María T López-Lluva; Iván Gómez-Blázquez; María T Velázquez-Martín; Agustín Albarrán-González-Trevilla; Felipe Hernández-Hernández; Fernando Lozano-Ruíz-Poveda Journal: Cardiovasc Revasc Med Date: 2017-10-26
Authors: Annapoorna S Kini; George D Dangas; Usman Baber; Yuliya Vengrenyuk; David E Kandzari; Martin B Leon; Marie-Claude Morice; Patrick W Serruys; A Pieter Kappetein; Joseph F Sabik; Ovidiu Dressler; Roxana Mehran; Samin K Sharma; Gregg W Stone Journal: EuroIntervention Date: 2020-06-25 Impact factor: 6.534
Authors: Sam Mirzaee; Mourushi Isa; Udit Thakur; James D Cameron; Stephen J Nicholls; Benjamin K Dundon Journal: J Invasive Cardiol Date: 2020-01-20 Impact factor: 2.022
Authors: Niels Ramsing Holm; Lene Nyhus Andreasen; Simon Walsh; Olli A Kajander; Nils Witt; Christian Eek; Paul Knaapen; Lukasz Koltowski; Juan Luis Gutiérrez-Chico; Francesco Burzotta; Janusz Kockman; John Ormiston; Irene Santos-Pardo; Peep Laanmets; Darren Mylotte; Morten Madsen; Jakob Hjort; Indulis Kumsars; Truls Råmunddal; Evald Høj Christiansen Journal: Am Heart J Date: 2018-08-16 Impact factor: 4.749