Bifurcation DiseaseWhat Do We Know, What Should We Do?
Azeem Latib, MB BCh*, ,
Antonio Colombo, MD*, ,*
* Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy
Interventional Cardiology Unit, EMO Centro Cuore Columbus, Milan, Italy
Division of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
View larger version (22K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure 1 Medina Classification of Bifurcation Lesions
In the Medina classification (25), a binary value (1,0) is given to each of the 3 components of a bifurcation (main branch proximal, main branch distal, and the side branch) according to whether each of these segments is compromised (1) or not (0).
|
|
View larger version (37K):
[in this window]
[in a new window]
[Download PPT slide]
|
Figure 2 Proposed Algorithm for Treating Coronary Bifurcations
This approach to bifurcation stenting is based on whether both branches have significant disease, the diameter of the side branch (SB) and the extent of disease in the SB. MB = main branch.
|
|
|
