Medical science continues to evolve each day with new knowledge and technologies, achieving significant advancements in protecting and treating human health. Cardiology, as one of the pioneers of these developments, has introduced numerous inno- vations into clinical practice. In particular, interventions targeting bifurcation lesions in the treatment of coronary artery diseases remain a field open to continuous progress and innovation due to their complex nature and the challenges in treatment approaches.
This book aims to address a wide spectrum of topics, from the fundamental principles of bifurcation interventions to the most current applications. The classification of bifurcation lesions, along with the specialized materials and imaging modalities used in interventions, as well as the stenting techniques to be applied to bifurcation lesions in light of current guidelines, have been addressed step by step and in detail. While creating this book, by bringing together the valuable knowledge and experience of expert physicians in the field, we aimed to provide a practical guide that will serve as a reference in clinical practice. Each chap- ter has been meticulously prepared to help readers both update their theoretical knowledge and find support in their clinical deci- sion-making processes.
This book is designed to cater to a broad audience, ranging from physicians specializing in cardiology training to cardiology experts seeking to keep their professional knowledge up to date.
As the editor, it has been a great honor for me to carefully re- view each chapter of this book and present it as a cohesive whole. I owe my deepest gratitude to all the authors and colleagues who contributed scientifically to the preparation of this book.
With love and respect,
Assoc. Prof. Dr. Veysel Ozan Tanık
Ankara Etlik City Hospital, Department of Cardiology,
Ankara, Türkiye
Bölümler
SECTION 1
DEFINITIONS IN BIFURCATION LESIONS
Section Editor: Mustafa Mücahit Balcı
Bifurcation Lesions: Definition and Classification
Veysel Ozan Tanık, Doğukan Yazıcı
Treatment Algorithm for Bifurcation Lesions According to Current Guidelines
Alperen Taş
Definition and Criteria of a Significant Side Branch
Çağatay Tunca
Summary of 18Th European Bifurcation Club Reccomendations
Eftal Murat Bakırcı, Saner Bahadır Gök
SECTION 2
AUXILIARY MATERIALS AND IMAGING TECHNIQUES FOR BIFURCATION INTERVENTIONS
Section Editor: Belma Kalaycı, Hamza Sunman
Access Site and Material Selection in Bifurcation Interventions
Meltem Altınsoy
Materials Required in the Catheter Laboratory for Bifurcation Interventions
Kamuran Kalkan
Assessment of Bifurcation Lesions Using Imaging Techniques (Angiography, IVUS, OCT)
Ali Sezgin, Ayşe Avara
Hemodynamic Assessment of Coronary Bifurcation Lesions: FFR, iFR, CFR and FFR-CT
Haluk Furkan Şahan
SECTION 3
BASIC APPROACHES AND STRATEGIES IN BIFURCATION INTERVENTIONS
Section Editor: Özgür Ulaş Özcan
Side Branch Wiring and Protection Techniques
Hacı Ali Kürklü
Pre-Dilatation in Bifurcation Lesions
Nazlı Turan Şerifler
Proximal Optimization Technique and Tips in Bifurcation Interventions
Mehmet Taha Özkan
Kissing Balloon Inflation in Percutaneous Coronary Interventions
Burak Kardeşler
Provisional Stenting
Bülent Özlek, Ozan Güneş
Bail-Out Strategies in Provisional Stenting
Ertan Ekici
Basic Approaches and Strategies in Bifurcation Interventions: Inverted Provisional Stenting
Muhammed Erzurum
SECTION 4
BIFURCATION INTERVENTION TECHNIQUES
Section Editors: Tolga Han Efe, Kürşat Akbuğa
T and TAP Stenting Techniques
Yusuf Bozkurt Şahin
Classic Culotte Stenting
Onur Akgün
Mini-Culotte and Double-Kissing (DK) Mini-Culotte Stenting
Ahmet Kıvrak
V and Y Stenting Techniques
Vedat Hekimsoy
Simultaneous Kissing Stenting
Nadire Işık Erol Algül, Ahmet Özdemir
SECTION 5
CRUSH STENTING TECHNIQUES IN BIFURCATION ATTEMPTS
Section Editor: Saadet Demirtaş İnci
Classic Crush Techniques
Gürbey Söğüt
Crush Stenting Techniques in Bifurcation Attempts: Double-Kissing (DK) Crush Stenting
Murat Akdoğan
Nano Crush Stenting Technique
Ayşe Nur Özkaya İbiş
SECTION 6
MANAGEMENT OF SPECIAL SITUATIONS IN BIFURCATION INTERVENTIONS
Section Editors: Özcan Özdemir, Sinan İşçen
Management of Medina 0,0,1 Coronary Lesions
Hakan Erdem
Percutaneous Coronary Intervention Options in LMCA (Left Main Coronary Artery) Bifurcation Lesions
Yunus Emre Özbebek
Complications in Coronary Bifurcation Interventions
Engin Algül
Bifurcation Stenting and Antithrombotic Therapy
Arzu Neslihan Akgün
Current Treatment Options for Bifurcation Restenosis
Belma Yaman, Özge Kurmuş, Burak Şaşırt
Use of Drug Coated Balloons in Bifurcation Lesions
Ezgi Polat Ocaklı