Intravascular ultrasound assessment of distal left main bifurcation disease: The importance of the polygon of confluence of the left main, left anterior descending, and left circumflex arteries

Catheterization and Cardiovascular Interventions

Volumn 82, Issue 5, 2013, Pages 737-745

  Kang, Soo Jin ^a   Mintz, Gary S ^b   Oh, Jun Hyok ^a   Park, Duk Woo ^a   Lee, Seung Whan ^a   Kim, Young Hak ^a   Lee, Cheol Whan ^a   Park, Seong Wook ^a   Park, Seung Jung ^a  

^a Asan Medical Center   (South Korea)

^b CARDIOVASCULAR RESEARCH FOUNDATION   (United States)

Author keywords

LM bifurcation; polygon of confluence; stent expansion

Indexed keywords

ADULT; ARTICLE; ATHEROSCLEROTIC PLAQUE; CARDIOVASCULAR PARAMETERS; CORONARY ARTERY CIRCUMFLEX BRANCH; CORONARY ARTERY OBSTRUCTION; CORONARY BIFURCATION LESION; DISEASE SEVERITY; DRUG ELUTING STENT; FEMALE; HUMAN; IMAGE RECONSTRUCTION; INTRAVASCULAR ULTRASOUND; LEFT ANTERIOR DESCENDING CORONARY ARTERY; LEFT CIRCUMFLEX ARTERY; LEFT CORONARY ARTERY; MAJOR CLINICAL STUDY; MALE; POLYGON OF CONFLUENCE; PREDICTION; PROGNOSIS; RECEIVER OPERATING CHARACTERISTIC; SENSITIVITY AND SPECIFICITY; ULTRASOUND SCANNER;

LM BIFURCATION; POLYGON OF CONFLUENCE; STENT EXPANSION;

CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; CORONARY STENOSIS; CORONARY VESSELS; DRUG-ELUTING STENTS; HUMANS; PERCUTANEOUS CORONARY INTERVENTION; PLAQUE, ATHEROSCLEROTIC; PREDICTIVE VALUE OF TESTS; REPRODUCIBILITY OF RESULTS; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 84886950353     PISSN: 15221946     EISSN: 1522726X     Source Type: Journal    
DOI: 10.1002/ccd.23263     Document Type: Article

References (17)

1. Park SJ, Kim YH,. Percutaneous coronary intervention as an alternative to bypass surgery for unprotected LMCA stenosis. Expert Rev Cardiovasc Ther 2008; 6: 1107-1114.
2. Seung KB, Park DW, Kim YH, Lee SW, Lee CW, Hong MK, Park SW, Yun SC, Gwon HC, Jeong MH, Jang Y, Kim HS, Kim PJ, Seong IW, Park HS, Ahn T, Chae IH, Tahk SJ, Chung WS, Park SJ,. Stents versus coronary-artery bypass grafting for left main coronary artery disease. N Engl J Med 2008; 358: 1781-1792.
3. Valgimigli M, Malagutti P, Rodriguez-Granillo GA, Garcia-Garcia HM, Polad J, Tsuchida K, Regar E, Van der Giessen WJ, de Jaegere P, De Feyter P, Serruys PW,. Distal left main coronary disease is a major predictor of outcome in patients undergoing percutaneous intervention in the drug-eluting stent era: An integrated clinical and angiographic analysis based on the rapamycin-eluting stent evaluated at Rotterdam cardiology hospital (RESEARCH) and Taxus-stent evaluated at Rotterdam cardiology hospital (T-SEARCH) registries. J Am Coll Cardiol 2006; 47: 1530-1537.
4. Kimura BJ, Russo RJ, Bhargava V, McDaniel MB, Peterson KL, DeMaria AN,. Atheroma morphology and distribution in proximal left anterior descending coronary artery: In vivo observations. J Am Coll Cardiol 1996; 27: 825-831.
5. Pompa J, Bashore T,. Qualitative and quantitative angiography-Bifurcation lesions. In:, Topol E, editor. Textbook of Interventional Cardiology. Philadelphia: W.B. Sounders; 1994. pp 1055-1058.
6. Lefevre T, Louvard Y, Morice MC,. Stenting of bifurcation lesions: Classification, treatments, and results. Cathet Cardiovasc Intervent 2000; 49: 274-283.
7. Safian RD, Freed M,. Manual of Interventional Cardiology. Royal Oak: Physicians' Press; 2001. pp 221-236.
8. Medina A, Suárez de Lezo J, Pan M,. A new classification of coronary bifurcation lesions. Rev Esp Cardiol 2006; 59: 183.
9. Ryan TJ, Faxon DP, Gunnar RM, Kennedy JW, King SB III, Loop FD, Peterson KL, Reeves TJ, Williams DO, Winters WL Jr,. Guidelines for percutaneous transluminal coronary angioplasty. A report of the American college of cardiology/American heart association task force on assessment of diagnostic and therapeutic cardiovascular procedures (subcommittee on percutaneous transluminal coronary angioplasty). Circulation 1988; 78: 486-502.
10. Popma JJ, Leon MB, Moses JW, Holmes DR Jr, Cox N, Fitzpatrick M, Douglas J, Lambert C, Mooney M, Yakubov S, Kuntz RE; SIRIUS Investigators,. Quantitative assessment of angiographic restenosis after sirolimus-eluting stent implantation in native coronary arteries. Circulation 2004; 110: 3773-3780.
11. Ellis SG, Popma JJ, Lasala JM, Koglin JJ, Cox DA, Hermiller J, O'shaughnessy C, Mann JT, Turco M, Caputo R, Bergin P, Greenberg J, Stone GW,. Relationship between angiographic late loss and target lesion revascularization after coronary stent implantation: Analysis from the TAXUS-IV trial. J Am Coll Cardiol 2005; 45: 1193-1200.
12. Rodriguez-Granillo GA, Gracia-Garcia HM, Wentzel J, Valgimigli M, Tsuchida K, van der Giessen W, de Jaegere P, Regar E, de Feyter PJ, Serruys PW,. Plaque composition and its relationship with acknowledged shear stress patterns in coronary arteries. J Am Coll Cardiol 2006; 47: 884-885.
13. Ramcharitar S, Onuma Y, Aben JP, Consten C, Weijers B, Morel MA, Serruys PW,. A novel dedicated quantitative coronary analysis methodology for bifurcation lesions. EuroIntervention 2008; 3: 553-557.
14. Garcia-Garcia HM, Gonzalo N, Regar E, Serruys PW,. Virtual histology and optical coherence tomography: From research to a broad clinical application. Heart 2009; 95: 1362-1374.
15. Nakazawa G, Yazdani SK, Finn AV, Vorpahl M, Kolodgie FD, Virmani R,. Pathological findings at bifurcation lesions: The impact of flow distribution on atherosclerosis and arterial healing after stent implantation. J Am Coll Cardiol 2010; 55: 1679-1687.
16. Oviedo C, Maehara A, Mintz GS, Tsujita K, Kubo T, Doi H, Castellanos C, Lansky AJ, Mehran R, Dangas G, Leon MB, Stone GW, Templin B, Araki H, Ochiai M, Moses JW,. Is accurate intravascular ultrasound evaluation of the left circumflex ostium from a left anterior descending to left main pullback possible? Am J Cardiol 2010; 105: 948-954.
17. Jasti V, Ivan E, Yalamanchili V, Wongpraparut N, Leesar MA,. Correlations between fractional flow reserve and intravascular ultrasound in patients with an ambiguous left main coronary artery stenosis. Circulation 2004; 110: 2831-2836.