Side Branch is the Main Determinant Factor of Bifurcation Lesion Complexity: Critical Review with a Proposal Based on Single-centre Experience
Imad Sheiban, Ospedale “Pederzoli”, Peschiera del Garda, Italy, Filippo Figini, Ospedale “Pederzoli”, Peschiera del Garda, Italy, Valeria Gasparetto, Ospedale “Pederzoli”, Peschiera del Garda, Italy, Fabrizio D’Ascenzo, Claudio Moretti, Ospedale di Chivasso, Turin, Italy, Filippo Leonardo, Ospedale “Pederzoli”, Peschiera del Garda, Italy
Abstract
Although bifurcation stenting can be often managed with a simple provisional approach, in some settings, more complex techniques are appropriate. Based on our clinical experience and on data from literature, we propose a simple algorithm that may assist in selecting cases for elective double stenting. We found that, when the side branch is of adequate dimensions and affected by significant disease (longer than 10 mm and/or with presence of ostial calcifications), double stenting is associated with a lower incidence of adverse events, compared with provisional stenting.