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Complex Bifurcation: A new Scoring System to Guide PCI Choices for Bifurcation Lesions
European Bifurcation Club 2014 – EBC 2014 – Bordeaux, France
News
Complex Bifurcation: A new Scoring System to Guide PCI Choices for Bifurcation Lesions
Author: I Sheiban University of Torino, Director Interventional Cardiology Pederzoli Hospital Pescheria del Grada ( Verona )/ Italy
FINAL REMARKS
- Medina classifica2on for bifurcation lesions is a useful tool for the definition of bifuraction lesion morphology but can not be used for an appropriate treatment strategy selection
- Clinical outcome can be significantly different using different approach in the same type of bifurcation lesion ( according to the present classification )
- BL Complexity Score seems to be able to define Simple and Complex bifurcation lesions and consequently to identify the appropriate treatment strategy :
- 2 stent strategy as intention to treat in Complex BL
- Provisional stenting as intention to treat in Simple BL
- Further clinical evaluation is warranted to verify if this BL Complexity Score , associaated to Medina Classification, in daily clinical practice can guide for easy and quick selection of the more appropriate BL treatment .