Bifurcation lesions in the context of a PCI CTO - insight from Belgrade single center CTO registry-Reference-Cited by-同舟云学术

Bifurcation lesions in the context of a PCI CTO - insight from Belgrade single center CTO registry

Published:2023 Issue:8 Volume:80 Page:685-690
ISSN:0042-8450
Container-title:Vojnosanitetski pregled
language:en
Short-container-title:VOJNOSANIT PREGL

Author:

Juricic Stefan¹,Tesic Milorad²^ORCID,Dobric Milan³^ORCID,Stojkovic Sinisa²^ORCID

Affiliation:

1. University Clinical Center of Serbia,Clinic for Cardiology, Belgrade, Serbia

2. University Clinical Center of Serbia,Clinic for Cardiology, Belgrade, Serbia + University of Belgrade, Faculty of Medicine, Belgrade, Serbia

3. University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia

Abstract

Background/Aim. Chronic total occlusions (CTOs) of the coronary artery are still one of the most complex procedures in the treatment of coronary arteries. If there is a bifurcation lesion within the CTO, it is certainly one of the biggest challenges for interventional cardiologists. Methods. We present a retrospective analysis of patients from our center who underwent percutaneous coronary intervention (PCI) with a bifurcation lesion within the CTO and a side branch with a diameter of 2 mm or more from January 2017 to December 2020. Results. Out of the total 216 patients in the four-year period, 38 (18%) had a bifurcation lesion within the CTO. The most common bifurcation lesions (50%) were on the left anterior descending artery, and the least frequent (21%) on the circumflex coronary artery. CTO recanalization was successful in 35 (92%) patients. The one-stent technique was used in 27 (77%) patients, while the two-stent technique was used in 8 (23%) patients. Conclusion. Bifurcation lesions in the context of PCI CTOs are a relatively common finding in coronary angiography and represent a special challenge for CTO operators. The provisional technique (one-stent technique) is the most common strategy for the treatment of bifurcation lesions in patients with CTO.

Publisher

National Library of Serbia

Subject

Pharmacology (medical)

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