Bifurcation Club: Latin American Cases-How to Evaluate Side Branch Significance and Estimate the Need for a Second Stent

How to Evaluate Side Branch Significance and Estimate the Need for a Second Stent

Video Transcription

Video Summary

The presentation discusses complex bifurcation interventions in cardiology, highlighting three cases. The first involves a straightforward left main stenosis treated with a single stent. The second case shows a challenging stenosis in the circumflex artery, requiring a TAP stent technique. The final, most complex scenario involves a trifurcation with a small intermediate branch, treated using the culotte technique. The speaker emphasizes the importance of customized treatment strategies based on lesion complexity and patient-specific factors, noting lower myocardial infarction rates with the two-stent technique compared to provisional. Furthermore, the use of drug-eluting balloons is explored, showing favorable outcomes in complex stenoses. The presentation concludes with an anecdotal case of a challenging coronary artery catheterization due to complications with a guiding catheter. The insights shared highlight the importance of technique selection, equipment understanding, and potential adaptations in interventional cardiology practices.

Asset Subtitle

Alfredo Rodriguez, MD, PhD, FSCAI

Keywords

bifurcation interventions

cardiology

stent techniques

drug-eluting balloons

myocardial infarction

interventional cardiology