Quantitative angiography methods for bifurcation lesions: a consensus statement update from the European Bifurcation Club

被引:38
作者
Collet, Carlos [1 ]
Onuma, Yoshinobu [2 ]
Cavalcante, Rafael [3 ]
Grundeken, Maik [1 ]
Genereux, Philippe [4 ,5 ,6 ,7 ]
Popma, Jeffrey [8 ]
Costa, Ricardo [9 ]
Stankovic, Goran [10 ]
Tu, Shengxian [11 ]
Reiber, Johan H. C. [12 ]
Aben, Jean-Paul [13 ]
Lassen, Jens Flensted [14 ]
Louvard, Yves [15 ]
Lansky, Alexandra [16 ]
Serruys, Patrick W. [17 ]
Byrne, Robert A. [18 ]
Capodanno, Davide [19 ]
Waksman, Ron [20 ]
Garcia-Garcia, Hector-M. [20 ]
Arbab-Zadeh, Armin [21 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands
[2] Cardialysis BV, Rotterdam, Netherlands
[3] Erasmus Med Centel
[4] Cardiovasc Res Fdn, New York, NY USA
[5] Columbia Univ, Med Ctr, New York, NY USA
[6] Univ Montreal, Hop Sacre Coeur Montreal, Montreal, PQ, Canada
[7] Morristown Med Ctr, Morristown, NJ USA
[8] Beth Israel Deaconess Med Center
[9] Dante Pazzanese Inst Cardiol, Sao Paulo, Brazil
[10] Clin Ctr Serbia, Inst Cardiovasc Dis, Belgrade, Serbia
[11] Shanghai Jiao Tong Univ, Sch Biomed Engn, Med X Res Inst, Shanghai, Peoples R China
[12] Medis Med Imaging Syst Bv, Leiden, Netherlands
[13] Pie Med Imaging, Maastricht, Netherlands
[14] Univ Copenhagen, Rigshosp, Ctr Heart, Dept Cardiol, Copenhagen, Denmark
[15] Inst Hosp Jacques Cartier, Massy, France
[16] Yale Univ, New Haven, CT USA
[17] Imperial Coll London, London, England
[18] Tech Univ Munich, Deutsch Herzzentrum Munchen, Munich, Germany
[19] Univ Catania, Ferrarotto Hosp, Catania, Italy
[20] MedStar Washington Hosp Center
[21] Johns Hopkins Univ, Div Cardiol, Dept Med, Baltimore, MD USA
关键词
bifurcation; Other imaging modalities; quantitative coronary angiography (QCA);
D O I
10.4244/EIJ-D-16-00932
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bifurcation lesions represent one of the most challenging lesion subsets in interventional cardiology. The European Bifurcation Club (EBC) is an academic consortium whose goal has been to assess and recommend the appropriate strategies to manage bifurcation lesions. The quantitative coronary angiography (QCA) methods for the evaluation of bifurcation lesions have been subject to extensive research. Single vessel QCA has been shown to be inaccurate for the assessment of bifurcation lesion dimensions. For this reason, dedicated bifurcation software has been developed and validated. These software packages apply the principles of fractal geometry to address the "step-down" in the bifurcation and to estimate vessel diameter accurately. This consensus update provides recommendations on the QCA analysis and reporting of bifurcation lesions based on the most recent scientific evidence from in vitro and in vivo studies and delineates future advances in the field of QCA dedicated bifurcation analysis.
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页码:115 / 123
页数:9
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