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Tips and Tricks in Bifurcation Stenting Techniques
A/Prof Nguyen Quang Tuan., MD., PhD., FACC
Hanoi Heart Hospital
Bifurcation Stenting Techniques
Bifurcation lesions classification
Duke Classification: Bifurcations
Plaque Shifting (Snow-Plough Effect)
Types of Bifurcational Stenting
Bifurcation Stenting Strategies
Provisional
T Stenting
Systematic
T Stenting
V Stenting
Cuoluotte
Stenting
Provisional T Stenting
Cross the most distal possible stent cell!
FRONTIER STENT
1
2 4
3
sf
sf
Stent Thrombosis
Increased with two stents deployed in bifurcations.
? Reason: stent distortion, no kissing performed.
Better to accept an aesthetically less pleasing result than to have SAT
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