Placement of coronary stents in bifurcation lesions by the “culotte” technique

Chevalier, Bernard; Glatt, B.; Royer, Thierry; Guyon, Philippe

doi:10.1016/s0002-9149(98)00510-4

Cited by 210 publications

(118 citation statements)

References 21 publications

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“…This may be the first and the last step of the procedure but may also be followed by the opening of a stent cell with or without kissing balloon inflation towards the SB [37], and if necessary by the delivery of a second stent in the SB in a T [38], TAP (T And small Protrusion) (Burzotta, personal communication), Culotte [39][40][41], or Internal Crush configuration [42,43].…”

Section: Classification Of Bifurcation Lesions Treatment Techniquesmentioning

confidence: 99%

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Louvard

Thomas

Džavík

et al. 2007

Cathet Cardio Intervent

274

139

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Background: Percutaneous coronary intervention (PCI) of coronary bifurcation lesions remains a subject of debate. Many studies have been published in this setting. They are often small scale and display methodological flaws and other shortcomings such as inaccurate designation of lesions, heterogeneity, and inadequate description of techniques implemented. Methods: The aim is to propose a consensus established by the European Bifurcation Club (EBC), on the definition and classification of bifurcation lesions and treatments implemented with the purpose of allowing comparisons between techniques in various anatomical and clinical settings. Results: A bifurcation lesion is a coronary artery narrowing occurring adjacent to, and/or involving, the origin of a significant side branch. The simple lesion classification proposed by Medina has been adopted. To analyze the outcomes of different techniques by intention to treat, it is necessary to clearly define which vessel is the distal main branch and which is (are) the side branche(s) and give each branch a distinct name. Each segment of the bifurcation has been named following the same pattern as the Medina classification. The classification of the techniques (MADS: Main, Across, Distal, Side) is based on the manner in which the first stent has been implanted. A visual presentation of PCI techniques and devices used should allow the development of a software describing quickly and accurately the procedure performed. Conclusion: The EBC proposes a new classification of bifurcation lesions and their treatments to permit accurate comparisons of well described techniques in homogeneous lesion groups. '

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Section: Classification Of Bifurcation Lesions Treatment Techniquesmentioning

confidence: 99%

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Louvard

Thomas

Džavík

et al. 2007

Cathet Cardio Intervent

274

139

View full text Add to dashboard Cite

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“…Data from the CACTUS study and other randomised trials 4 supports at present that the general recommended strategy in coronary bifurcation treatment is provisional SB stenting. [5][6][7][8] However, a number of coronary bifurcation lesions need stent implantation in both the SB and MB. Many techniques are used during the everyday clinical practice of which the Crush 7 and Culotte 8 outcomes.…”

Section: Recent Studies On Bifurcation Percutaneous Coronary Intervenmentioning

confidence: 99%

“…[5][6][7][8] However, a number of coronary bifurcation lesions need stent implantation in both the SB and MB. Many techniques are used during the everyday clinical practice of which the Crush 7 and Culotte 8 outcomes. 9 More definitive data regarding the use of one stent or two stent stagey in bifurcation angioplasty with DESs has come from the prospective randomised NORDIC study.…”

Section: Recent Studies On Bifurcation Percutaneous Coronary Intervenmentioning

confidence: 99%

Dedicated bifurcation stents

Pillai

Jayaraman

2012

Indian Heart Journal

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A B S T R A C TBifurcation percutaneous coronary intervention (PCI) is still a difficult call for the interventionist despite advancements in the instrumentation, technical skill and the imaging modalities. With major cardiac events relate to the side-branch (SB) compromise, the concept and practice of dedicated bifurcation stents seems exciting. Several designs of such dedicated stents are currently undergoing trials. This novel concept and pristine technology offers new hope notwithstanding the fact that we need to go a long way in widespread acceptance and practice of these gadgets. Some of these designs even though looks enterprising, the mere complex delivering technique and the demanding knowledge of the exact coronary anatomy makes their routine use challenging.

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“…Percutaneous coronary intervention (PCI) of bifurcation disease remains a challenge in terms of procedural success rate as well as long term major adverse cardiac events (MACE), target lesion revascularization (TLR), restenosis, and stent thrombosis. Bifurcation interventions, when compared with non-bifurcation interventions, have a lower rate of procedural success and a higher rate of restenosis [1][2][3]. Bifurcation lesions carry a risk of side branch occlusion because of plaque redistribution or so-called "plaque shift" across the carina of the bifurcation.…”

Section: Introductionmentioning

confidence: 99%

Importance of the Spasm Provocation Test in Diagnosing and Clarifying the Activity of Vasospastic Angina

Teragawa¹,

Fujii²,

Oshita³

et al. 2017

Interv Cardiol J

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Background: Percutaneous Coronary Intervention (PCI) of bifurcation disease remains a challenge in terms of procedural success rate as well as long term Major Adverse Cardiac Events (MACE), Target Lesion Revascularization (TLR), restenosis, and Stent Thrombosis (ST). Bifurcation interventions, when compared with nonbifurcation interventions, have a lower rate of procedural success and a higher rate of restenosis.

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Placement of coronary stents in bifurcation lesions by the “culotte” technique

Cited by 210 publications

References 21 publications

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Dedicated bifurcation stents

Importance of the Spasm Provocation Test in Diagnosing and Clarifying the Activity of Vasospastic Angina

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