Coronary Bifurcation Stenting: Review of Current Techniques and Evidence.

IF 2.4 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Cardiology Reviews Pub Date : 2023-01-01 DOI:10.2174/1573403X18666220406113517
Surya Kiran Aedma, Anant Naik, Arun Kanmanthareddy
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Abstract

Background: Coronary bifurcation stenting constitutes 20% of all PCI performed. Given the extensive prevalence of bifurcation lesions, various techniques have sought to optimally stent the bifurcation to improve revascularization while also decreasing rates of stent thrombosis and lesion recurrence. Advanced techniques, such as planned two-stent approaches, have been shown to have improved outcomes but also require fluoroscopy and procedure time, posing an economic argument as well as a patient-outcome one.

Objective: Because of the many strategies posited in the literature, it becomes essential to objectively evaluate evidence from randomized controlled trials and meta-analyses to help determine the optimal stenting strategy.

Methods: We reviewed the clinical evidence on the efficacy of coronary bifurcation stenting.

Results: In this paper, we review the most recent randomized controlled trials and meta-analyses on the efficacy of various stenting techniques and advances in stenting technologies published to gauge the current state of understanding and chart where the field is heading.

Conclusion: Bifurcation stenting is a maturing problem in the field of interventional cardiology that is adapting to the needs of the patients and advances in technology.

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冠状动脉分叉支架:当前技术和证据综述。
背景:冠状动脉分叉支架置入术占所有经皮冠状动脉介入治疗的20%。鉴于分叉病变的广泛流行,各种技术都在寻求最佳的分叉支架,以改善血运重建,同时降低支架血栓形成和病变复发率。先进的技术,如计划的双支架入路,已被证明具有改善的结果,但也需要荧光镜检查和手术时间,这既是一个经济论点,也是一个患者结果论点。目的:由于文献中提出了许多策略,因此客观评估随机对照试验和荟萃分析的证据以帮助确定最佳支架植入策略变得至关重要。方法:回顾分析冠状动脉分叉支架置入术疗效的临床证据。结果:在这篇论文中,我们回顾了最近发表的关于各种支架技术疗效和支架技术进展的随机对照试验和荟萃分析,以衡量当前的理解状态,并绘制该领域的发展方向。结论:分叉支架术是介入心脏病学领域中一个成熟的问题,它适应了患者的需求和技术的进步。
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来源期刊
Current Cardiology Reviews
Current Cardiology Reviews CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.70
自引率
10.50%
发文量
117
期刊介绍: Current Cardiology Reviews publishes frontier reviews of high quality on all the latest advances on the practical and clinical approach to the diagnosis and treatment of cardiovascular disease. All relevant areas are covered by the journal including arrhythmia, congestive heart failure, cardiomyopathy, congenital heart disease, drugs, methodology, pacing, and preventive cardiology. The journal is essential reading for all researchers and clinicians in cardiology.
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