IVUS determination of normal left main stem artery size and plaque burden, and correlation with body surface area in an Indian population

Punamiya, Kirti; Jha, Tanya; Punamiya, Varun; Pradhan, Jasmine

doi:10.4244/aij-d-22-00041

Cited by 5 publications

(1 citation statement)

References 15 publications

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“…Additionally, the fact that bifurcations have varying diameters in various patient subgroups, individuals, and different sites along coronary tree, further multiplies complexity. The average LM coronary artery diameter according to various measurements, reaches up to 4.75 mm, but substantial proportion of patients can have LM above 5 mm (up to 1/3 of patients) or even up to 6 mm, since anatomical variations in general population follow the rule of normal distribution [ 18 , 19 ]. Males have larger coronary artery diameters than females, and ethnicity and age are prone to affect these differences.…”

Section: Bifurcation Lesionsmentioning

confidence: 99%

DES Selection for Left Main and Coronary Bifurcation Stenting

Mehmedbegović,

Jelić,

Mladenović

et al. 2023

Rev. Cardiovasc. Med.

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Coronary bifurcation lesions present a challenging lesion subset regarding procedural complexity and worse patient outcomes as compared to simple lesions. Drug eluting stents (DES), as the current standard of care for percutaneous myocardial revascularization, have tubular design and uniform diameter, and therefore, need to be subjected to a standardized set of procedural modifications, to optimally fit and reconstruct underlying bifurcation anatomy. Since contemporary DES have various design platforms, with diverse mechanical properties, we must be aware of the device’s favorable characteristics and limitations, to ensure maximal procedural safety and success. This is especially true for bifurcation lesion stenting, during which device integrity will often be eventually tested by undergoing specific procedural steps, such as proximal balloon optimization, kissing-balloon inflations, or even intentional stent crushing. In this review we address the design characteristics of contemporary DES, their bifurcation-specific experimental testing data, and reported clinical results, in an attempt to provide relevant information and help in device selection for bifurcation stenting procedures.

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Section: Bifurcation Lesionsmentioning

confidence: 99%