Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions
We discuss main challenges of much-debated endovascular treatment in patients with “false” bifurcation stenoses of the left main coronary artery. There are no convincing literature data on the rationale of planning complete bifurcation stenting using 2 stents and clear indications for this procedure...
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| Format: | Article |
| Language: | English |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2024-08-01
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| Series: | Инновационная медицина Кубани |
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| Online Access: | https://www.innovmedkub.ru/jour/article/view/887 |
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| author | D. A. Maximkin S. K. Loginova Sh. Sh. Fatulloeva |
| author_facet | D. A. Maximkin S. K. Loginova Sh. Sh. Fatulloeva |
| author_sort | D. A. Maximkin |
| collection | DOAJ |
| description | We discuss main challenges of much-debated endovascular treatment in patients with “false” bifurcation stenoses of the left main coronary artery. There are no convincing literature data on the rationale of planning complete bifurcation stenting using 2 stents and clear indications for this procedure. We highlight the importance of studying the effectiveness and safety of the complex routine use of various intravascular imaging during the left main coronary artery percutaneous coronary intervention. We analyzed observations in which a “false” bifurcation lesion can only be considered an ostial stenosis, which will affect the stenting strategy. We focus on the development of universal algorithms for performing endovascular interventions, including those using intravascular imaging which role at each stage of surgery should be additionally studied. |
| format | Article |
| id | doaj-art-be136d8ebf45494fa8a5ba7c2e945557 |
| institution | Kabale University |
| issn | 2541-9897 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj-art-be136d8ebf45494fa8a5ba7c2e9455572025-08-20T03:47:32ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972024-08-010310411010.35401/2541-9897-2024-9-3-104-110471Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation LesionsD. A. Maximkin0S. K. Loginova1Sh. Sh. Fatulloeva2Patrice Lumumba Peoples’ Friendship University of RussiaPatrice Lumumba Peoples’ Friendship University of RussiaPatrice Lumumba Peoples’ Friendship University of RussiaWe discuss main challenges of much-debated endovascular treatment in patients with “false” bifurcation stenoses of the left main coronary artery. There are no convincing literature data on the rationale of planning complete bifurcation stenting using 2 stents and clear indications for this procedure. We highlight the importance of studying the effectiveness and safety of the complex routine use of various intravascular imaging during the left main coronary artery percutaneous coronary intervention. We analyzed observations in which a “false” bifurcation lesion can only be considered an ostial stenosis, which will affect the stenting strategy. We focus on the development of universal algorithms for performing endovascular interventions, including those using intravascular imaging which role at each stage of surgery should be additionally studied.https://www.innovmedkub.ru/jour/article/view/887left main coronary arteryfalse bifurcation stenosisintravascular imagingfractional flow reservemyocardial revascularization |
| spellingShingle | D. A. Maximkin S. K. Loginova Sh. Sh. Fatulloeva Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions Инновационная медицина Кубани left main coronary artery false bifurcation stenosis intravascular imaging fractional flow reserve myocardial revascularization |
| title | Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions |
| title_full | Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions |
| title_fullStr | Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions |
| title_full_unstemmed | Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions |
| title_short | Challenges of Endovascular Treatment in Patients With “False” Left Main Coronary Bifurcation Lesions |
| title_sort | challenges of endovascular treatment in patients with false left main coronary bifurcation lesions |
| topic | left main coronary artery false bifurcation stenosis intravascular imaging fractional flow reserve myocardial revascularization |
| url | https://www.innovmedkub.ru/jour/article/view/887 |
| work_keys_str_mv | AT damaximkin challengesofendovasculartreatmentinpatientswithfalseleftmaincoronarybifurcationlesions AT skloginova challengesofendovasculartreatmentinpatientswithfalseleftmaincoronarybifurcationlesions AT shshfatulloeva challengesofendovasculartreatmentinpatientswithfalseleftmaincoronarybifurcationlesions |