Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Catheterization and Cardiovascular Interventions

Volumn 71, Issue 2, 2008, Pages 175-183

  Louvard, Yves ^a   Thomas, Martyn ^b   Dzavik, Vladimir ^c   Hildick Smith, David ^d   Galassi, Alfredo R ^e   Pan, Manuel ^f   Burzotta, Francisco ^g   Zelizko, Michael ^h   Dudek, Darius ⁱ   Ludman, Peter ^j   Sheiban, Imad ^k   Lassen, Jens F ^l   Darremont, Olivier ^m   Kastrati, Adnan ⁿ   Ludwig, Josef ^o   Iakovou, Ioannis ^p   Brunel, Philippe ^q   Lansky, Alexandra ^r   Meerkin, David ^s   Legrand, Victor ^t   Medina, Alfonso ^u   Lefèvre, Thierry ^a   more..

^a INSTITUT CARDIOVASCULAIRE PARIS SUD   (France)

^b KING'S COLLEGE LONDON   (United Kingdom)

^c UNIVERSITY HEALTH NETWORK   (Canada)

^d Brighton and Sussex University Hospitals   (United Kingdom)

^e UNIVERSITY OF CATANIA   (Italy)

^f HOSPITAL UNIVERSITARIO REINA SOFÍA   (Spain)

^g CATHOLIC UNIVERSITY   (Italy)

^h INSTITUTE FOR CLINICAL AND EXPERIMENTAL MEDICINE   (Czech Republic)

ⁱ JAGIELLONIAN UNIVERSITY MEDICAL COLLEGE   (Poland)

^j QUEEN ELIZABETH HOSPITAL   (United Kingdom)

^k UNIVERSITY OF TURIN   (Italy)

^l AARHUS UNIVERSITY HOSPITAL   (Denmark)

^m CLINIQUE SAINT AUGUSTIN   (France)

ⁿ TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^o UNIVERSITY HOSPITAL ERLANGEN   (Germany)

^p 2nd IKA Hospital Thessaloniki   (Greece)

^q Nouvelles Cliniques Nantaises   (France)

^r New York Presbyterian Morgan Stanley Children's Hospital   (United States)

^s HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

^t UNIVERSITY OF LIÈGE   (Belgium)

^u HOSPITAL UNIVERSITARIO DE GRAN CANARIA DR NEGRÍN   (Spain)

more..

Author keywords

Bifurcation lesions; Classification of bifurcation lesions; Classification of treatments; QCA

Indexed keywords

ARTERY DIAMETER; CORONARY ARTERY BIFURCATION; CORONARY ARTERY BLOOD FLOW; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; CORONARY STENT; DISEASE CLASSIFICATION; HEART LEFT VENTRICLE FUNCTION; HUMAN; OUTCOME ASSESSMENT; PERCUTANEOUS CORONARY INTERVENTION; PRACTICE GUIDELINE; REVIEW; SURGICAL TECHNIQUE; TREATMENT INDICATION; TREATMENT OUTCOME; TREATMENT PLANNING;

ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY; CORONARY ANGIOGRAPHY; CORONARY STENOSIS; HUMANS; PROSTHESIS IMPLANTATION; STENTS; TERMINOLOGY AS TOPIC;

EID: 39749131262     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.21314     Document Type: Review

References (60)

1. Colombo A, Moses JW, Morice MC, Ludwig J, Holmes DR Jr, Spanos V, Louvard Y, Desmedt B, Di Mario C, Leon MB. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation 2004;109:1244-1249.
2. Pan M, de Lezo JS, Medina A, Romero M, Segura J, Pavlovic D, Delgado A, Ojeda S, Melian F, Herrador J, Urena I, Burgos L. Rapamycin-eluting stents for the treatment of bifurcated coronary lesions: A randomized comparison of a simple versus complex strategy. Am Heart J 2004;148:857-864.
3. Steigen TK, Maeng M, Wiseth R, Erglis A, Kumsars I, Narbute I, Gunnes P, Mannsverk J, Meyerdierks O, Rotevatn S, Niemela M, Kervinen K, Jensen JS, Galloe A, Nikus K, Vikman S, Ravkilde J, James S, Aaroe J, Ylitalo A, Helqvist S, Sjogren I, Thayssen P, Virtanen K, Puhakka M, Airaksinen J, Lassen JF, Thuesen L; Nordic PCI Study Group. Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: The Nordic bifurcation study. Circulation 2006;114:1955-1961.
4. Dzavik V. Progress in percutaneous management of coronary bifurcation lesions. Minerva Cardioangiol 2005;53:379-401.
5. Pan M, Suarez de Lezo J, Medina A, et al. Simple and complex stent strategies for bifurcated coronary arterial stenosis involving the side branch origin. Am J Cardiol 1999;83:1320-1325.
6. Yamashita T, Nishida T, Adamian MG, Briguori C, Vaghetti M, Corvaja N, Albiero R, Finci L, Di Mario C, Tobis JM, Colombo A. Bifurcation lesions: two stents versus one stent - immediate and follow-up results. J Am Coll Cardiol 2000;35:1145-1151.
7. Sheiban I, Albiero R, Marsico F, et al. Immediate and long-term results of "T" stenting for bifurcation coronary lesions. Am J Cardiol 2000;85:1141-1144, A9.
8. Al Suwaidi J, Berger PB, Rihal CS, et al. Immediate and long-term outcome of intracoronary stent implantation for true bifurcation lesions. J Am Coll Cardiol 2000;35:929-936.
9. Anzuini A, Briguori C, Rosanio S, et al. Immediate and long-term clinical and angiographic results from Wiktor stent treatment for true bifurcation narrowings. Am J Cardiol 2001;88:1246-1250.
10. Gobeil JF, Lefevre T, Guyon P, Louvard Y, Chevalier B, Dumas P, Glatt B, Loubeyre C, Royer T, Morice MC. Stenting of bifurcation lesions using the Bestent: A prospective dual-center study. Cathet Cardiovasc Intervent 2002;55:427-433.
11. Assali AR, Teplitsky I, Hasdai D, Rechavia E, Solodky A, Sela O, Butto N, Shor N, Fuchs S, Battler A, Kornowski R. Coronary bifurcation lesions: To stent one branch or both? J Invasive Cardiol 2004;16:447-450.
12. Ge L, Airoldi F, Iakovou I, Cosgrave J, Michev I, Sangiorgi GM, Montorfano M, Chieffo A, Carlino M, Corvaja N, Colombo A. Clinical and angiographic outcome after implantation of drug-eluting stents in bifurcation lesions with the crush stent technique: Importance of final kissing balloon post-dilation. J Am Coll Cardiol 2005;46:613-620.
13. Hoye A, van Mieghem CA, Ong AT, Aoki J, Rodriguez Granillo GA, Valgimigli M, Tsuchida K, Sianos G, McFadden EP, van der Giessen WJ, de Feyter PJ, van Domburg RT, Serruys PW. Percutaneous therapy of bifurcation lesions with drug-eluting stent implantation: The Culotte technique revisited. Int J Cardiovasc Intervent 2005;7:36-40.
14. Assali AR, Assa HV, Ben-Dor I, Teplitsky I, Solodky A, Brosh D, Fuchs S, Kornowski R. Drug-eluting stents in bifurcation lesions: To stent one branch or both? Catheter Cardiovasc Interv 2006;68:891-896.
15. Hoye A, Iakovou I, Ge L, van Mieghem CA, Ong AT, Cosgrave J, Sangiorgi GM, Airoldi F, Montorfano M, Michev I, Chieffo A, Carlino M, Corvaja N, Aoki J, Rodriguez Granillo GA, Valgimigli M, Sianos G, van der Giessen WJ, de Feyter PJ, van Domburg RT, Serruys PW, Colombo A. Long-term outcomes after stenting of bifurcation lesions with the "crush" technique: predictors of an adverse outcome. J Am Coll Cardiol 2006; 47:1949-1958.
16. Ge L, Iakovou I, Cosgrave J, Agostoni P, Airoldi F, Sangiorgi GM, Michev I, Chieffo A, Montorfano M, Carlino M, Corvaja N, Colombo A. Treatment of bifurcation lesions with two stents: One year angiographic and clinical follow up of crush versus T stenting. Heart 2006;92:371-376.
17. Brunel P, Lefevre T, Darremont O, Louvard Y. Provisional T-stenting and kissing balloon in the treatment of coronary bifurcation lesions: Results of the French multicenter "TULIPE" study. Catheter Cardiovasc Interv 2006;68:67-73.
18. Lefèvre T, Morice MC, Sengottuvel G, Kokis A, Monchi M, Dumas P, Garot P, Louvard Y. Influence of technical strategies on the outcome of coronary bifurcation stenting. EuroIntervention 2005;1:31-37.
19. Darremont O, Brunel P, Lefèvre T, Balcells J, Leymarie JL, Bressollette E, Fisher B, Leurent B, Louvard Y, Morice MC. Provisional T-stenting strategy using Paclitaxel-eluting stent for coronary bifurcation lesion treatment. The surf study. Am J Cardiol 2005;96(Suppl 7A):83H.
20. Airoldi F, Colombo A, Michev L, Briguori C, Chieffo A, Iakovou I, Ge L, Carlino M, Sangiorgi GM, Vitrella G, Stankovic G, Montorfano M. Sirolimus eluting stents implantation in bifurcational coronary artery lesions utilizing the 'Crush' Technique: Immediate and mid term outcome. JACC 2005;45:(3 Suppl A).
21. Rux S, Sonntag S, Schulze R, Rau M, Weber F, Muhling H, Cioppa A, Kleber FX; BISCOR Investigators. Acute and long-term results of bifurcation stenting (from the Coroflex Registry). Am J Cardiol 2006;98:1214-1217.
22. Koller P, Safian RD. Bifurcation Stenosis in Manual of Interventional Cardiology, Physician's Press 1996:229-241.
23. Topol EJ. Textbook of Interventional Cardiology, 3rd ed. Philadelphia: W.B. Saunders; 1999. p 1058.
24. Lefèvre T, Louvard Y, Morice MC, et al. Stenting of bifurcation lesions: Classification, treatments, and results. Catheter Cardiovasc Interv 2000;49:274-283.
25. Klein LW. The bifurcation lesion: more evidence that a new lesion classification system should be widely adopted. Catheter Cardiovasc Interv 2002;55:434-435.
26. Movahed MR, Stinis CT. A new proposed simplified classification of coronary artery bifurcation lesions and bifurcation interventional techniques. J Invasive Cardiol 2006;18:199-204.
27. Medina A, Suarez de Lezo J, Pan M. A new classification of coronary bifurcation lesions. Rev Esp Cardiol 2006;59:183.
28. Dzavik V, Kharbanda R, Ivanov J, Ing DJ, Bui S, Mackie K, Ramsamujh R, Barolet A, Schwartz L, Seidelin PH. Predictors of long-term outcome after crush stenting of coronary bifurcation lesions: importance of the bifurcation angle. Am Heart J 2006;152:762-769.
29. Furukawa, et al. Intravascular ultrasound predictors of side branch occlusion in bifurcation lesions after percutaneous coronary intervention. Cir J 2005;69:325-330.
30. Zhou Y, Kassab GS, Molloi S. On the design of the coronary arterial tree: A generalization of Murray's law. Phys Med Biol 1999;44:2929-2945.
31. Finet G, Gilard M. Lessons from IVUS in bifurcation lesions. Available at www.bifurc.net.
32. Schlundt C, Kreft JG, Fuchs F, Achenbach S, Daniel WD, Ludwig J. Three-dimensional on-line reconstruction of coronary bifurcated lesions to optimize side-branch stenting. Catheter Cardiovasc Interv 2006;68:249-253.
33. Louvard Y, Lefèvre T, Morice MC. Percutaneous coronary intervention for bifurcation coronary disease. Heart 2004;90:713-722.
34. Goktekin O, Kaplan S, Dimopoulos K, Barlis P, Tanigawa J, Vatankulu MA, Koning G, Tuinenburg JC, Mario CD. A new quantitative analysis system for the evaluation of coronary bifurcation lesions: Comparison with current conventional methods. Catheter Cardiovasc Interv 2007;69:172-180.
35. Alberti A, Missiroli B, Nannini C. "Skirt" technique for coronary artery bifurcation stenting. J Invasive Cardiol 2000;12:633-636.
36. Kobayashi Y, Colombo A, Adamian M, et al. The skirt technique: A stenting technique to treat a lesion immediately proximal to the bifurcation [pseudobifurcation]. Catheter Cardiovasc Interv 2000;51:347-351.
37. Ormiston JA, Webster MW, Ruygrok PN, et al. Stent deformation following simulated side-branch dilatation: a comparison of five stent designs. Catheter Cardiovasc Interv 1999;47:258-264.
38. Lefèvre T, Louvard Y, Morice MC, Loubeyre C, Piéchaud JF, Dumas P. Stenting of bifurcation lesions: A rational approach. J Interven Cardiol 2001;14:573-586.
39. Khoja A, Ozbek C, Bay W, et al. Trouser-like stenting: A new technique for bifurcation lesions. Cathet Cardiovasc Diagn 1997;41:192-196.
40. Di Mario C, Colombo A. Trousers-stents. How to choose the right size and shape. Cathet Cardiovasc Diagn 1997,41:197-199.
41. Chevalier B, Glatt B, Royer T, et al. Placement of coronary stents in bifurcation lesions by the "culotte" technique. Am J Cardiol 1998;82:943-949.
42. Sianos G, Vaina S, Hoye A, Serruys PW. Bifurcation stenting with drug eluting stents: Illustration of the Crush technique. Catheter Cardiovasc Interv 2006;67:839-845.
43. Porto I, van Gaal W, Banning A. "Crush" and "reverse crush" technique to treat a complex left main stenosis. Heart 2006;92:1021.
44. Colombo A, Gaglione A, Nakamura S, et al. "Kissing" stents for bifurcation coronary lesion. Cathet Cardiovasc Diagn 1993;30:327-330.
45. Schampaert E, Fort S, Adelman AG, et al. The V-stent: A novel technique for coronary bifurcation stenting. Cathet Cardiovasc Diagn 1996;39:320-326.
46. Sharma SK. Simultaneous kissing drug-eluting stent technique for percutaneous treatment of bifurcation lesions in large-size vessels. Catheter Cardiovasc Interv 2005;65:10-16.
47. Sharma SK, Choudhury A, Lee J, Kim MC, Fisher E, Steinheimer AM, Kini AS. Simultaneous kissing stents (SKS) technique for treating bifurcation lesions in medium-to-large size coronary arteries. Am J Cardiol 2004;94:913-917.
48. Carrie D, Karouny E, Chouairi S, et al. "T"-shaped stent placement: A technique for the treatment of dissected bifurcation lesions. Cathet Cardiovasc Diagn 1996;37:311-313.
49. Kobayashi Y, Colombo A, Akiyama T, et al. Modified "T" stenting: A technique for kissing stents in bifurcational coronary lesion. Cathet Cardiovasc Diagn 1998;43:323-326.
50. Rizik DG, Klassen KJ, Dowler DA, Villegas BJ. Balloon alignment T-stenting for bifurcation coronary artery disease using the sirolimus-eluting stent. J Invasive Cardiol 2006;18:454-460.
51. Nageh T, Kulkarni NM, Thomas MR. High-speed rotational atherectomy in the treatment of bifurcation-type coronary lesions. Cardiology 2001;95:198-205.
52. Karvouni E, Di Mario C, Nishida T, Tzifos V, Reimers B, Albiero R, Corvaja N, Colombo A. Directional atherectomy prior to stenting in bifurcation lesions: A matched comparison study with stenting alone. Catheter Cardiovasc Interv 2001;53:12-20.
53. Wong CB, Hardin S. A novel technique for coronary bifurcation lesions: Cutting balloons, drug-eluting stents and the kissing technique. J Invasive Cardiol 2005;17:108-110.
54. Pan M, Suarez de Lezo J, Medina A, Romero M, Segura J, Ramirez A, Pavlovic D, Hernandez E, Ojeda S, Adamuz C. A stepwise strategy for the stent treatment of bifurcated coronary lesions. Catheter Cardiovasc Interv 2002;55:50-57.
55. Colombo A, Stankovic G, Orlic D, Corvaja N, Liistro F, Airoldi F, Chieffo A, Spanos V, Montorfano M, Di Mario C. Modified T-stenting technique with crushing for bifurcation lesions: immediate results and 30-day outcome. Catheter Cardiovasc Interv 2003;60:145-151.
56. Lim PO, Dzavik V. Balloon crush: treatment of bifurcation lesions using the crush stenting technique as adapted for transradial approach of percutaneous coronary intervention. Catheter Cardiovasc Interv 2004;63:412-416.
57. Collins N, Dzavik V. A modified balloon crush approach improves side branch access and side branch stent apposition during crush stenting of coronary bifurcation lesions. Catheter Cardiovasc Interv 2006;68:365-371.
58. Chen SL, Ye F, Zhang JJ, Zhu ZS, Lin S, Shan SJ, Liu ZZ, Liu Y, Duan BX, Ge JB. DK crush technique: Modified treatment of bifurcation lesions in coronary artery. Chin Med J 2005;118:1746-1750.
59. Jim MH, Ho HH, Miu R, Chow WH. Modified crush technique with double kissing balloon inflation (sleeve technique): a novel technique for coronary bifurcation lesions. Catheter Cardiovasc Interv 2006;67:403-409.
60. Galassi AR, Colombo A, Buchbinder M, Grasso C, Tomasello SD, Ussia GP, Tamburino C. Long-term outcomes of bifurcation lesions after implantation of drug-eluting stents with the "Mini-Crush Technique". Catheter Cardiovasc Interv 2007;70:976-983.