Percutaneous coronary intervention in left main coronary artery disease: the 13th consensus document from the European Bifurcation Club

被引:100
作者
Burzotta, Francesco [1 ]
Lassen, Jens Flensted [2 ]
Banning, Adrian P. [3 ]
Lefevre, Thierry [4 ]
Hildick-Smith, David [5 ]
Chieffo, Alaide [6 ]
Darremont, Olivier [7 ]
Pan, Manuel [8 ]
Chatzizisis, Yiannis S. [9 ]
Albiero, Remo [10 ]
Louvard, Yves [4 ]
Stankovic, Goran [11 ,12 ]
机构
[1] Univ Cattolica Sacro Cuore, Inst Cardiol, Largo A Gemelli 8, I-00168 Rome, Italy
[2] Univ Copenhagen, Rigshosp, Heart Ctr, Dept Cardiol, Copenhagen, Denmark
[3] John Radcliffe Hosp, Radcliffe Dept Med, Cardiovasc Med Div, Oxford, England
[4] Hosp Prive Jacques Cartier, Ramsay Gen Sante Inst Cardiovasc Paris Sud, Massy, France
[5] Brighton & Sussex Univ Hosp, Sussex Cardiac Ctr, Brighton, E Sussex, England
[6] Ist Sci San Raffaele, Intervent Cardiol Unit, Milan, Italy
[7] Clin St Augustin, Bordeaux, France
[8] Univ Cordoba IMIBIC, Reina Sofia Hosp, Dept Cardiol, Cordoba, Spain
[9] Univ Nebraska Med Ctr, Cardiovasc Div, Omaha, NE USA
[10] Inst Clin San Rocco, Brescia, Italy
[11] Univ Belgrade, Clin Ctr Serbia, Dept Cardiol, Belgrade, Serbia
[12] Univ Belgrade, Med Fac, Belgrade, Serbia
关键词
bifurcation; drug-eluting stents; left main;
D O I
10.4244/EIJ-D-18-00357
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The 2017 European Bifurcation Club (EBC) meeting was held in Porto (Portugal) and allowed a multidisciplinary international faculty to review and discuss the latest data collected in the field of coronary bifurcation interventions. In particular, the topic of percutaneous coronary intervention (PCI) on left main coronary artery (LM) disease was highlighted as a contemporary priority. Herein, we summarise the key LM anatomy features, the diagnostic modalities and available data that are relevant for a patient's procedural management. Since the clinical outcomes of patients undergoing PCI on LM disease may depend on both PCI team organisation and PCI performance, the optimal catheterisation laboratory set-up and the rationales for device and technique selection are critically reviewed. The best lesion preparation modalities, the different DES implantation technique choices and the strategies to be considered during PCI on unprotected LM for optimal PCI results are reviewed step by step.
引用
收藏
页码:112 / 120
页数:9
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