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Should we modify the Medina classification?

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Should we modify the Medina classification?

European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany

Bifurcation lesion and treatment definition

Should we modify the Medina classification?

Author: Dr. Carlo Di Mario, Royal Brompton, London, President EAPCI

 

CONCLUSION

  • Description of bifurcational lesion characteristics – YES
    • Still the best qualitative classification
    • Subject to moderate interobserver variability
  • Definition of strategy and prediction of acute and late results – NO
    • SB size and lesion length and severity determinesstrategy
    • No prognostic validation

 

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