Lansky Alexandra, Tuinenburg Joan, Costa Marco, Maeng Micheal, Koning Gerhard, Popma Jeffrey, Cristea Ecatarina, Gavit Laurence, Costa Ricardo, Rares Andrei, Van Es Gerritt-Ann, Lefevre Thierry, Reiber Hans, Louvard Yves, Morice Marie-Claude
Cardiovascular Research Foundation & Columbia University Medical Center, New York, New York 10022, USA.
Catheter Cardiovasc Interv. 2009 Feb 1;73(2):258-66. doi: 10.1002/ccd.21814.
The treatment of bifurcation lesions is complex and increasingly common. A growing number of dedicated bifurcation devices are under clinical evaluation, but no standardized methodology exists. Specifically, the angiographic analysis of bifurcation lesions is not standardized and current QCA packages are not designed for bifurcation lesions. This consensus statement outlines the limitations of conventional QCA in the bifurcation application, and outlines a new standard approach for the analysis and reporting of the angiographic results of the bifurcation lesion allowing for future trial and device comparisons and mechanistic insight into location and modes of treatment failure.
分叉病变的治疗复杂且日益常见。越来越多专门用于分叉病变的器械正在进行临床评估，但尚无标准化方法。具体而言，分叉病变的血管造影分析未标准化，且当前的定量冠状动脉造影（QCA）软件包并非为分叉病变设计。本共识声明概述了传统QCA在分叉病变应用中的局限性，并概述了一种用于分析和报告分叉病变血管造影结果的新标准方法，以便未来进行试验和器械比较，并深入了解治疗失败的位置和模式的机制。
