Coronary left main and non-left main bifurcation angles: how are the angles modified by different bifurcation stenting techniques?

Journal of Interventional Cardiology
Cosmo GodinoAntonio Colombo

Abstract

Investigation of the correlation between bifurcation angles and outcomes is limited with discordant results. The aim of this study is to investigate left main (LM) and non-left main (N-LM) bifurcation angles and their modification after percutaneous coronary intervention (PCI). Measurement of all three angles adds to our understanding of bifurcation anatomy and the resultant effect of different stenting techniques. All three bifurcation angles were described according to the European Bifurcation Club definition: the A (proximal bifurcation angle), the B (distal bifurcation angle) and the C (main branch angle). Measurements were performed in 75 LM and 140 N-LM bifurcations. In LM bifurcations baseline mean values of C, A, and B were 151 degrees +/- 28 degrees, 131 degrees +/- 32 degrees, and 78 +/- 28 degrees, respectively. In bifurcations with 2 stents the B significantly decreased by a mean of 10 degrees (P = 0.003) and A increased by 10 degrees (P = 0.006). Crush stenting significantly decreased B (A - 14 degrees ; P = 0.020) and increased A (A + 21 degrees; P = 0.005), particularly non-true bifurcations. In N-LM bifurcations mean values for C, A, and B were 156 degrees +/- 19 degrees , 144 degrees +/- 22 degrees, and 60 degr...Continue Reading

References

Jun 1, 1976·Circulation Research·G M HutchinsJ K Boitnott
Jun 1, 1992·Journal of the American College of Cardiology·R K MylerB Hidalgo
Mar 15, 1996·Journal of the American College of Cardiology·B J KimuraA N DeMaria
Dec 26, 2003·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·J Reig, M Petit
May 18, 2004·Heart·Yves LouvardMarie-Claude Morice
Jun 3, 2004·The Journal of Clinical Investigation·Yoram RichterElazer R Edelman
Oct 27, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·John A OrmistonMonique J Panther
Mar 4, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nathan E GreenJohn D Carroll
Oct 18, 2005·Journal of the American College of Cardiology·Ioannis IakovouAntonio Colombo
Feb 21, 2006·Journal of the American College of Cardiology·Gastón A Rodriguez-GranilloPatrick W Serruys
Oct 13, 2006·Investigative Radiology·Tobias PfledererStephan Achenbach
Dec 28, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Carlo Di MarioGiuseppe M Sangiorgi
Jan 11, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yoshinobu Murasato
Nov 7, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Yves LouvardThierry Lefèvre
Jan 31, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shaoliang ChenTak W Kwan
Jul 22, 2008·The American Journal of Cardiology·Pierfrancesco AgostoniStefan Verheye
Jan 31, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tomohiro KawasakiNobuhiko Koga
Jul 7, 2009·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Mary E RussellEitan Konstantino
Jan 1, 2008·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gérard FinetRémy Prost
Dec 17, 2009·Journal of Interventional Cardiology·Alfredo R GalassiCorrado Tamburino

❮ Previous
Next ❯

Citations

Oct 5, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·David Hildick-SmithBon-Kwon Koo
Apr 5, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Goran StankovicUNKNOWN European Bifurcation Club
May 17, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Francesco BurzottaCarlo Trani
Jan 25, 2011·Circulation Journal : Official Journal of the Japanese Circulation Society·Andre ManicaKevin Croce
Mar 1, 2012·Journal of Biomechanics·Yunlong HuoGhassan S Kassab
Jun 13, 2015·Journal of Interventional Cardiology·Dong Zhang, Kefei Dou
May 20, 2015·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Maik J GrundekenPatrick W Serruys
Jan 2, 2015·Computers in Biology and Medicine·Jennifer FrattolinRosaire Mongrain
Sep 19, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Pau Medrano-GraciaBrett Cowan
Nov 22, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Francesco IannacconeJolanda J Wentzel
Sep 13, 2011·Brain Structure & Function·Simone KühnJürgen Gallinat
Nov 14, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·John A OrmistonGoran Stankovic

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Francesco BurzottaCarlo Trani
EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Gérard FinetRémy Prost
Proceedings of the National Academy of Sciences of the United States of America
C D Murray
© 2021 Meta ULC. All rights reserved