IMR Press / RCM / Volume 11 / Issue S1 / DOI: 10.3909/ricm11S1S0001

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.

Open Access Review
Bifurcation Classification Schemes: Impact of Lesion Morphology on Development of a Treatment Strategy
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1 Division of Cardiology, Department of Medicine, NorthShore University HealthSystem, University of Chicago Pritzker School of Medicine, Chicago, IL
Rev. Cardiovasc. Med. 2010, 11(S1), 11–16; https://doi.org/10.3909/ricm11S1S0001
Published: 20 January 2010
Abstract
A number of bifurcation lesion classification schemes exist in which capital letters or Roman numerals categorize various types of bifurcation lesions. Unfortunately, these classification schemes are confusing and difficult to remember because of the lack of association between the numbers or letters and various anatomic abnormalities of bifurcation lesions. Recently, the Medina classification was proposed as a simpler, easier-to-remember scheme that labels bifurcation lesions by plaque involvement in 3 anatomic segments (proximal main segment, distal segment of main branch, and side branch). However, this classification also has limitations because it doesn’t include important descriptive features of bifurcation lesions that could be important in determining optimum stent treatment strategy. The Movahed classification overcomes these limitations by including bifurcation angle and proximal vessel size in its scheme. The impact of these various classification schemes on stent treatment strategies and more recent clinical trial results is discussed.
Keywords
Bifurcation lesion
Classification schemes
Stent treatment strategies
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