The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting

Manuel Pan; Jens Flensted Lassen; Francesco Burzotta; Soledad Ojeda; Remo Albiero; Thierry Lefèvre; David Hildick-Smith; Thomas W Johnson; Alaide Chieffo; Adrian P Banning; Miroslaw Ferenc; Olivier Darremont; Yiannis S Chatzizisis; Yves Louvard; Goran Stankovic

doi:10.4244/EIJ-D-23-00124

The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting

Manuel Pan, Jens Flensted Lassen^*, Francesco Burzotta, Soledad Ojeda, Remo Albiero, Thierry Lefèvre, David Hildick-Smith, Thomas W Johnson, Alaide Chieffo, Adrian P Banning, Miroslaw Ferenc, Olivier Darremont, Yiannis S Chatzizisis, Yves Louvard, Goran Stankovic

^*Corresponding author for this work

Bristol Medical School (THS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

49 Citations (Scopus)

Abstract

Provisional stenting has become the default technique for the treatment of most coronary bifurcation lesions. However, the side branch (SB) can become compromised after main vessel (MV) stenting and restoring SB patency can be difficult in challenging anatomies. Angiographic and intracoronary imaging criteria can predict the risk of side branch closure and may encourage use of side branch protection strategies. These protective approaches provide strategies to avoid SB closure or overcome compromise following MV stenting, minimising periprocedural injury. In this article, we analyse the strategies of SB preservation discussed and developed during the most recent European Bifurcation Club (EBC) meetings.

Original language	English
Pages (from-to)	26-36
Number of pages	11
Journal	EuroIntervention
Volume	19
Issue number	1
DOIs	https://doi.org/10.4244/EIJ-D-23-00124
Publication status	Published - 15 May 2023

Keywords

Humans
Coronary Stenosis/diagnostic imaging
Consensus
Coronary Angiography
Treatment Outcome
Stents
Coronary Artery Disease/surgery

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Pan, M., Lassen, J. F., Burzotta, F., Ojeda, S., Albiero, R., Lefèvre, T., Hildick-Smith, D., Johnson, T. W., Chieffo, A., Banning, A. P., Ferenc, M., Darremont, O., Chatzizisis, Y. S., Louvard, Y., & Stankovic, G. (2023). The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting. EuroIntervention, 19(1), 26-36. https://doi.org/10.4244/EIJ-D-23-00124

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title = "The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting",

abstract = "Provisional stenting has become the default technique for the treatment of most coronary bifurcation lesions. However, the side branch (SB) can become compromised after main vessel (MV) stenting and restoring SB patency can be difficult in challenging anatomies. Angiographic and intracoronary imaging criteria can predict the risk of side branch closure and may encourage use of side branch protection strategies. These protective approaches provide strategies to avoid SB closure or overcome compromise following MV stenting, minimising periprocedural injury. In this article, we analyse the strategies of SB preservation discussed and developed during the most recent European Bifurcation Club (EBC) meetings.",

keywords = "Humans, Coronary Stenosis/diagnostic imaging, Consensus, Coronary Angiography, Treatment Outcome, Stents, Coronary Artery Disease/surgery",

author = "Manuel Pan and Lassen, \{Jens Flensted\} and Francesco Burzotta and Soledad Ojeda and Remo Albiero and Thierry Lef{\`e}vre and David Hildick-Smith and Johnson, \{Thomas W\} and Alaide Chieffo and Banning, \{Adrian P\} and Miroslaw Ferenc and Olivier Darremont and Chatzizisis, \{Yiannis S\} and Yves Louvard and Goran Stankovic",

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doi = "10.4244/EIJ-D-23-00124",

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Pan, M, Lassen, JF, Burzotta, F, Ojeda, S, Albiero, R, Lefèvre, T, Hildick-Smith, D, Johnson, TW, Chieffo, A, Banning, AP, Ferenc, M, Darremont, O, Chatzizisis, YS, Louvard, Y & Stankovic, G 2023, 'The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting', EuroIntervention, vol. 19, no. 1, pp. 26-36. https://doi.org/10.4244/EIJ-D-23-00124

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T1 - The 17th expert consensus document of the European Bifurcation Club - techniques to preserve access to the side branch during stepwise provisional stenting

AU - Pan, Manuel

AU - Lassen, Jens Flensted

AU - Burzotta, Francesco

AU - Ojeda, Soledad

AU - Albiero, Remo

AU - Lefèvre, Thierry

AU - Hildick-Smith, David

AU - Johnson, Thomas W

AU - Chieffo, Alaide

AU - Banning, Adrian P

AU - Ferenc, Miroslaw

AU - Darremont, Olivier

AU - Chatzizisis, Yiannis S

AU - Louvard, Yves

AU - Stankovic, Goran

PY - 2023/5/15

Y1 - 2023/5/15

N2 - Provisional stenting has become the default technique for the treatment of most coronary bifurcation lesions. However, the side branch (SB) can become compromised after main vessel (MV) stenting and restoring SB patency can be difficult in challenging anatomies. Angiographic and intracoronary imaging criteria can predict the risk of side branch closure and may encourage use of side branch protection strategies. These protective approaches provide strategies to avoid SB closure or overcome compromise following MV stenting, minimising periprocedural injury. In this article, we analyse the strategies of SB preservation discussed and developed during the most recent European Bifurcation Club (EBC) meetings.

AB - Provisional stenting has become the default technique for the treatment of most coronary bifurcation lesions. However, the side branch (SB) can become compromised after main vessel (MV) stenting and restoring SB patency can be difficult in challenging anatomies. Angiographic and intracoronary imaging criteria can predict the risk of side branch closure and may encourage use of side branch protection strategies. These protective approaches provide strategies to avoid SB closure or overcome compromise following MV stenting, minimising periprocedural injury. In this article, we analyse the strategies of SB preservation discussed and developed during the most recent European Bifurcation Club (EBC) meetings.

KW - Humans

KW - Coronary Stenosis/diagnostic imaging

KW - Consensus

KW - Coronary Angiography

KW - Treatment Outcome

KW - Stents

KW - Coronary Artery Disease/surgery

U2 - 10.4244/EIJ-D-23-00124

DO - 10.4244/EIJ-D-23-00124

M3 - Article (Academic Journal)

C2 - 37170568

SN - 1774-024X

VL - 19

SP - 26

EP - 36

JO - EuroIntervention

JF - EuroIntervention

IS - 1