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• W2048378085 abstract "I read with great interest the recently published report titled “Serial Intravascular Ultrasound Analysis of Bifurcation Lesions Treated Using the Novel Self-Expanding Sideguard Side Branch Stent.” 1 Doi H. Maehara A. Mintz G.S. Dani L. Leon M.B. Grube E. Serial intravascular ultrasound analysis of bifurcation lesions treated using the novel self-expanding Sideguard side branch stent. Am J Cardiol. 2009; 104: 1216-1221 Abstract Full Text Full Text PDF PubMed Scopus (28) Google Scholar The investigators evaluated the novel Sideguard side branch stent (Cappella Medical Devices Ltd., Galway, Ireland) in true bifurcation lesions. However, they used a very complicated Medina bifurcation classification, which separates true bifurcation lesions into 3 clinically irrelevant groups (1.1.1, 1.0.1, and 0.1.1). This is in contrast to the Movahed bifurcation classification, which summarizes true coronary bifurcation lesions in only 1 clinically relevant group: so-called B2 lesions (“B” for “bifurcation” and “2” denoting that the side and main branches have significant atherosclerotic lesions at bifurcation site). 2 Movahed M.R. Coronary artery bifurcation lesion classifications, interventional techniques and clinical outcome. Expert Rev Cardiovasc Ther. 2008; 6: 261-274 Crossref PubMed Scopus (33) Google Scholar , 3 Movahed M.R. Quantitative angiographic methods for bifurcation lesions: a consensus statement from the European Bifurcation Group Shortcoming of the Medina classification as a preferred classification for coronary artery bifurcation lesions in comparison to the Movahed classification. Catheter Cardiovasc Interv. 2009; 74: 817-818 Crossref PubMed Scopus (6) Google Scholar , 4 Movahed M.R. Letter by Movahed regarding article, “Randomized study of the crush technique versus provisional side-branch stenting in true coronary bifurcations The CACTUS (Coronary Bifurcations: Application of the Crushing Technique Using Sirolimus-Eluting Stents) study.”. Circulation. 2009; 120: e63 Crossref PubMed Scopus (5) Google Scholar , 5 Movahed M.R. Stinis C.T. A new proposed simplified classification of coronary artery bifurcation lesions and bifurcation interventional techniques. J Invasive Cardiol. 2006; 18: 199-204 PubMed Google Scholar Furthermore, the Medina classification contains no description of the bifurcation angle or any other relevant features of a given bifurcation lesion, whereas the Movahed classification includes suffixes that can be added to describe the bifurcation angle and other important features of a bifurcation lesion. For example, in their study, Doi et al 1 Doi H. Maehara A. Mintz G.S. Dani L. Leon M.B. Grube E. Serial intravascular ultrasound analysis of bifurcation lesions treated using the novel self-expanding Sideguard side branch stent. Am J Cardiol. 2009; 104: 1216-1221 Abstract Full Text Full Text PDF PubMed Scopus (28) Google Scholar used only B2 lesions with bifurcation angles ≥50°, main-branch reference diameters (MBRD) of 2.5 to 3.5 mm, main-branch lesion lengths (MBLL) ≤25 mm, side-branch reference diameters (SBRD) of 2.2 to 2.8 mm, and side-branch lesion lengths (SBLL) ≤7 mm. By using the Movahed classification, the investigators could have described the specific bifurcation lesions examined in their study simply as B2≥50° lesions, with additional descriptions of other anatomic features separately, or they could have described the lesions comprehensively as follows: B2≥50°, MBRD 2.5 to 3.5, MBLL ≤25 mm, SBRD 2.2 to 2.8 mm, SBLL ≤7 mm." @default.
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• W2048378085 date "2010-04-01" @default.
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• W2048378085 title "Studies Involving Coronary Bifurcation Interventions Should Utilize the Most Comprehensive and Technically Relevant Movahed Coronary Bifurcation Classification for Better Communication and Accuracy" @default.
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• W2048378085 doi "https://doi.org/10.1016/j.amjcard.2009.12.030" @default.
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