European Bifurcation Club 2014 – EBC 2014 – Bordeaux, France

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 .

Download here