SCAI Bifurcation Club Updates-Intracoronary Imaging and Atherectomy in Bifurcation PCI

Video Transcription

Video Summary

In this video, the speaker discusses the importance of intracoronary imaging in bifurcation lesion management. The speaker emphasizes the significance of understanding side branch occlusion compromise and the role of plaque shifting and coronary shift in causing occlusion. They present data from various trials showing the benefits of intravascular ultrasound (IVUS) and optical coherence tomography (OCT) in improving outcomes in bifurcation stenting procedures. The speaker also demonstrates the use of IVUS and OCT in guiding wire crossing, stent placement, and post-procedural optimization. They highlight the importance of imaging in accurately assessing plaque morphology, plaque distribution, and optimizing bifurcation stenting techniques. The speaker also discusses the use of arthrectomy and calcium modification in complex bifurcation lesions and the challenges posed by trifurcation lesions. The video concludes with the speaker emphasizing the importance of imaging in simplifying and improving outcomes in bifurcation percutaneous coronary intervention procedures.

Asset Subtitle

Jasvindar Singh, MD, FSCAI

Keywords

intracoronary imaging

bifurcation lesion management

side branch occlusion compromise

intravascular ultrasound (IVUS)

optical coherence tomography (OCT)