Recent perspective on coronary bifurcation intervention: Statement of the "bifurcation club in KOKURA"

Yoshinobu Murasato*, Yutaka Hikichi, Sunao Nakamura, Fumihiko Kajiya, Kiyotaka Iwasaki, Yoshihisa Kinoshita, Masahiro Yamawaki, Toshiro Shinke, Shnichiro Yamada, Takehiro Yamashita, Gim Hooi Choo, Chang Wook Nam, Young Hak Kim, Nigel Jepson, Miroslaw Ferenc

*この研究の対応する著者

研究成果: Article査読

11 被引用数 (Scopus)

抄録

The treatment of coronary bifurcation lesion remains a challenging issue even in the drug-eluting stent era. Frequent restenosis and stent thrombosis have been recently shown to be related not only to geometrical gap or stent structural deformation but also to rheological disturbance. Low wall shear stress at the lateral side of the bifurcation is likely to cause atherosclerotic changes due to easy access of the macrophages that induce chemical mediators. The turbulent flow over stent metal may facilitate accumulation of platelets, which results in thrombosis. The jailed strut and excess metal overlap may increase these risks. Since dramatic changes of the coronary flow pattern at the bifurcation are closely related to the genesis of atherosclerosis, future bifurcation intervention technique should be considered to restore the original physiological state as well as the anatomical structure. This article summarizes the global consensus of the members of the Asian Bifurcation Club and European Bifurcation Club at the KOKURA meeting. It also provides a perspective of basic sciences relating to bifurcation anatomy, physiology, and pathology, in the search for a best strategy for bifurcation intervention.

本文言語English
ページ(範囲)295-304
ページ数10
ジャーナルJournal of Interventional Cardiology
23
4
DOI
出版ステータスPublished - 2010 8

ASJC Scopus subject areas

  • 放射線学、核医学およびイメージング
  • 循環器および心血管医学

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