IMR Press / RCM / Volume 11 / Issue S1 / DOI: 10.3909/ricm11S1S0003

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
The Side Branch Ostium: Understanding the Achilles Heel of Treating Bifurcation Coronary Disease
Show Less
1 Department of Cardiology, Geisinger Health System, Danville, PA
Rev. Cardiovasc. Med. 2010, 11(S1), 38–42; https://doi.org/10.3909/ricm11S1S0003
Published: 20 January 2010
Abstract
Angioplasty of lesions involving a bifurcation remains one of the most challenging lesion subsets in the field of coronary intervention. A general approach to dealing with bifurcation lesions is to avoid intervention of the side branch (SB) if possible. Angiographic or flow criteria are used to determine SB intervention; however, angiographic evaluation alone can be inaccurate. Performing intravascular ultrasound prior to intervention is a useful strategy. This aids the interventional cardiologist in determining whether main branch stenting alone is sufficient or if stenting of the SB is also warranted.
Keywords
Bifurcation coronary disease
Fractional flow reserve
Intravascular ultrasound
Side branch ostium
Stenosis
Share
Back to top