2κ ΠΙΜΟΡΦΩΣΙΚΟΝ ΜΙΝ ΡΙΟ. π ηία δεσμνκαλ δκζσΰκμ θν δ υγυθ άμνγνκαλ δκζκΰδεάμνκζδθδεάμ,ν υλωεζδθδεά

2κ ΠΙΜΟΡΦΩΣΙΚΟΝ ΜΙΝ ΡΙΟ ΜΦΙΘ ΣΡΟΝ έκέ έ,ν22 ΙκθέκΝ2013 ΓΓ ΙΟΠΛ ΣΙΚΗΝΝΝΝΝΝΝ ΝΝ Λ ΝΝ ΙΧ ΜΩΝ ΙΛ ΙΟ Ν Π ΝΟ π ηί δεσμνκλ δκζσΰκμ θν δ γθ άμνγνκλ δκζκΰδεάμνκζδθδεάμ,ν λωεζδθδεά

Medina Percutaneous coronary intervention for bifurcation disease. A consensus view from the first meeting of the European Bifurcation Club (Eurointervention 2006)

Θ χ π ω2 A. ΣκΝηΫΰ γκμν κνsb B. ΣβθΝε θκηάν κνsb ΓέΝΝΣβθΝΰωθέΝMB/SB ένσκθν τπκν κν δχ ηκτ :

π A. πζσν(«workhorse») B. Τ λσφδζκ ΓέΝΝ ιβηϋθβμν άλδιβμν(«extra support») έν θζσΰωμν βμνθ κηέμ SB:

π Kawasaki (TCT 2008) SB

ω φ χ χ Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

φ stent SB: A. βηθ δεσμνsb, θ χση θβνπζ δνγνϋχ δν θϋπ δ μν ΰδΝ κθνϊλλω κ B. Μ ΰΪζβΝη σπδ βνγβλωη δεάμνπζϊεμνε ΪΝ βθν πλκ δ κζά ΓέΝΝ βηθ δεάν Ϋθω βνεδνπϋλθν κν κηέκν κνsb έν Ν θτπλιβνσζωθν ωθνθω Ϋλω ένπκ Ϋ

φ stent («provisional side branch stenting») Tools & Techniques: PCI in coronary bifurcations lesions (Eurointervention May 2011)

π (π π stent): A. κθνmb B. κθνsb ΓέΝΝ ΝMB εδνsb έν κθνmb εδ,νθζσΰωμν θ χση θβμνη κπέ ωμν γβλωη δεάμνπζϊεμ,ν κθνsb

π (π π stent): Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

φ stent (MB) χω φ (SB, jailed wire technique): A. βηθ δεσμνsb, θ χση θβνπζ δνγνϋχ δν θϋπ δ μν ΰδΝ κθνϊλλω κ B. Τ λσφδζκνκ βΰσν τλην κθνsb ΓέΝΝΗΝΰωθέΝMB/SB εδνβνΰ θδεσ λβνθ κηένεγδ κτθν ηφέίκζβν βθνπλσ ί βν κθνsb ένόζν Νθω Ϋλω

π stent : A. ΣκΝ ΰΰτμΝ ηάην κνmb B. ΣκΝΪπωΝ ηάην κνμb ΓέΝΝ0,67 κνλγλκέ η κμνϊπων ηάη κμνμ ΝεδΝSB ένσκν θ κ φθδέκνπ λβχκΰλϊφβην(ivus)

π stent πω Μ Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

χ SB/MB («kissing balloon»): A. Νε λκνΰΰ δκΰλφδεσνπκ Ϋζ ην κθνmb B. Νε λκνΰΰ δκΰλφδεσνπκ Ϋζ ην κθνsb ΓέΝΝΜ ΪΝπσΝ κπκγϋ β βνstent MB εδνsb ένπϊθ κ

χ SB/MB («kissing balloon»): NORDIC III Trial, Niemelä M et al. Circulation 2011;123:79-86

φ π π (SB) χ (kissing balloon) Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

π A. ω π stent: πζσν(«workhorse») B. Τ λσφδζκ ΓέΝΝ ιβηϋθβμν άλδιβμν(«extra support») έν θζσΰωμν βμνθ κηέμ SB

π π stent: SB ω

φ stent («provisional side branch stenting»), POT Tools & Techniques: PCI in coronary bifurcations lesions (Eurointervention May 2011)

φ stent («provisional side branch stenting»), POT Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

Κ π (SB) ππ ω Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

π χ SB: A. ΣκΝζζΪωΝη ΝηβΝχλβ δηκπκδβηϋθκνηπζσθδ B. Πλκ πγνθνπκε ά ωνπλσ ί βνη ΝθΫκΝ τλη ΓέΝΝ ενη ΰζτ λβνπέ βνεδν λκφδεϋμνεδθά δμ ένόζν Νθω Ϋλω

φ stent SB: A. βηθ δεσμνsb, θ χση θβνπζ δνγνϋχ δν θϋπ δ μν ΰδΝ κθνϊλλω κ B. βηθ δεάνπκζ δπση θβν Ϋθω βν κθνsb ΓέΝΝ δχωλδ ησμν κνsb η Ν πβλ ησν βμνλκάμ έν Ν θτπλιβνσζωθν ωθνθω Ϋλω ένπκ Ϋ

φ Κ stent SB: Η et al. Eur Heart J (2008) 29 (6): 726-732 ω

φ stent SB: TAP, mini Crush, Culotte Percutaneous coronary intervention for bifurcation lesions: 2008 consensus document from the fourth meeting of the European Bifurcation Club (Eurointervention 2008)

φ stent SB: TAP, mini Crush, Culotte

φ stent Courtesy Issam Moussa, 2007 SB: Η crushing

φ stent/sb: TAP, Burzotta et al. Cath Cardiovasc Interv 2007 π π T stenting

φ stent/sb: Η Culotte π Courtesy Issam Moussa, 2007 χ

φ Burzotta et al. Cath Cardiovasc Interv 2007 stent/sb: Culotte

Μ Μ Η φ stent («provisional SB stenting») Ηπ Η φ ω ( χ π φ χ χ φ ) π π χ π

Μ φ π π χ π Η φ stent ππ Μ π π π ω χ π crushing (TAP, mini crush) Culotte χ stent π

χ π χ www.mathetinkardiasou.gr!