Two stents, too many? Should provisional PCI be the default bifurcation strategy?
18/01/2024
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Introduction
The European Bifurcation club (EBC) defines a coronary bifurcation lesion as a “coronary artery narrowing occurring adjacent to, and/or involving, the origin of a significant side branch (SB)”. A significant SB is a “branch that one does not want to lose in the global context of a particular patient” (1). There are several methods of classification; however, the medina classification (Figure 1) is widely accepted with a ‘true bifurcation’ lesion defined as Medina class (1,0,1), (1,1,1), or (0,1,1) (2).
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