Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations

The optimal management of bifurcation lesions has received significant interest in recent years and remains a matter of debate among the interventional cardiology community. Bifurcation lesions are encountered in approximately 21% of percutaneous coronary intervention procedures and are associated w...

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Autores principales:	Suleiman Suleiman, JJ Coughlan, George Touma, Richard Szirt
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/81805840e19f49f6b7a5eecdc4420f18
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spelling	oai:doaj.org-article:81805840e19f49f6b7a5eecdc4420f182021-12-04T16:04:12ZContemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations10.15420/icr.2020.301756-14851756-1477https://doaj.org/article/81805840e19f49f6b7a5eecdc4420f182021-04-01T00:00:00Zhttps://www.icrjournal.com/articleindex/icr.2020.30https://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485The optimal management of bifurcation lesions has received significant interest in recent years and remains a matter of debate among the interventional cardiology community. Bifurcation lesions are encountered in approximately 21% of percutaneous coronary intervention procedures and are associated with an increased risk of major adverse cardiac events. The Medina classification has been developed in an attempt to standardise the terminology when describing bifurcation lesions. The focus of this article is on the management of the Medina 0,0,1 lesion (‘Medina 001’), an uncommon lesion encountered in <5% of all bifurcations. Technical considerations, management options and interventional techniques relating to the Medina 001 lesion are discussed. In addition, current published data supporting the various proposed interventional treatment strategies are examined in an attempt to delineate an evidence-based approach to this uncommon lesion.Suleiman SuleimanJJ CoughlanGeorge ToumaRichard SzirtRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 16, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Suleiman Suleiman JJ Coughlan George Touma Richard Szirt Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
description	The optimal management of bifurcation lesions has received significant interest in recent years and remains a matter of debate among the interventional cardiology community. Bifurcation lesions are encountered in approximately 21% of percutaneous coronary intervention procedures and are associated with an increased risk of major adverse cardiac events. The Medina classification has been developed in an attempt to standardise the terminology when describing bifurcation lesions. The focus of this article is on the management of the Medina 0,0,1 lesion (‘Medina 001’), an uncommon lesion encountered in <5% of all bifurcations. Technical considerations, management options and interventional techniques relating to the Medina 001 lesion are discussed. In addition, current published data supporting the various proposed interventional treatment strategies are examined in an attempt to delineate an evidence-based approach to this uncommon lesion.
format	article
author	Suleiman Suleiman JJ Coughlan George Touma Richard Szirt
author_facet	Suleiman Suleiman JJ Coughlan George Touma Richard Szirt
author_sort	Suleiman Suleiman
title	Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
title_short	Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
title_full	Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
title_fullStr	Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
title_full_unstemmed	Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations
title_sort	contemporary management of isolated ostial side branch disease: an evidence-based approach to medina 001 bifurcations
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/81805840e19f49f6b7a5eecdc4420f18
work_keys_str_mv	AT suleimansuleiman contemporarymanagementofisolatedostialsidebranchdiseaseanevidencebasedapproachtomedina001bifurcations AT jjcoughlan contemporarymanagementofisolatedostialsidebranchdiseaseanevidencebasedapproachtomedina001bifurcations AT georgetouma contemporarymanagementofisolatedostialsidebranchdiseaseanevidencebasedapproachtomedina001bifurcations AT richardszirt contemporarymanagementofisolatedostialsidebranchdiseaseanevidencebasedapproachtomedina001bifurcations
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Contemporary Management of Isolated Ostial Side Branch Disease: An Evidence-based Approach to Medina 001 Bifurcations

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