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- Title
CURRENT TRENDS IN CORONARY BIFURCATION STENTING.
- Authors
Mohanty, Nirmal Kumar; Banerjee, Moumita; Rathor, Prasanna Kumar
- Abstract
Background: Coronqry Artery Disease(CAD)is rhe important cause of morbidity & mortality worldwide. 15-20% of percutaneous coronary procedures involve bifurcation lesions. Complex anatomy makes these lesions difficult to treat, raising procedure risks and patient outcomes. Objective: To evaluate the current state of coronary bifurcation stenting, including the evolution of techniques and technologies, the challenges faced, and the implications for future clinical practice and research. Review Summary: Since drug-eluting stents (DES) replaced bare-metal stents, restenosis has decreased. To treat bifurcation lesions, provisional, T-, Culotte, and double kissing (DK) crush methods have been devised. Despite these advances, restenosis, stent thrombosis, and side branch blockage still occur, requiring optimized procedural skills and imaging. Future Implications: Ongoing research is focused on optimizing stent design, exploring computational modeling for personalized treatments, and enhancing imaging techniques to improve procedural success and patient outcomes in coronary bifurcation stenting. Clinical Policy and Development: To improve bifurcation lesion management, evidencebased techniques, operator competence, and technological integration should be developed. These advances should inform future clinical policies for personalized, technology-driven bifurcation stenting.
- Subjects
SURGICAL stents; ARTERIAL diseases; MEDICAL research
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 4, p512
- ISSN
0975-3583
- Publication type
Article