Movahed Mohammad Reza
Section of Cardiology, Department of Medicine, University of Arizona Sarver Heart, Tucson, AZ, USA.
Department of Medicine, University of Arizona College of Medicine, Phoenix, AZ, USA.
Future Cardiol. 2025 Jan;21(1):31-37. doi: 10.1080/14796678.2024.2444156. Epub 2024 Dec 23.
The Medina classification separates true bifurcation lesions into three unnecessary groups: 1.1.1, 1.0.1, and 0.1.1. Non-true bifurcation lesions are divided into three unnecessary subgroups called 0.0.1, 0.1.0, and 1.0.0. Furthermore, the Medina classification does not describe any other important features of a given bifurcation lesion, making it useless when comparing complex bifurcation lesions. This has led to confusion in clinical settings and stagnation of bifurcation research. The Movahed bifurcation classification has overcome those problems by summarizing all true bifurcation lesions into one simple relevant category called B2 (B for bifurcation, 2 meaning both main and side branches at bifurcation site have significant lesions) and non-true bifurcation lesions into two simple categories called B1m (B for bifurcation, 1 m meaning only the main branch has significant lesion) and B1S lesions (B for bifurcation and 1 s meaning only the side branch has significant lesion). Moreover, at the same time, additional unlimited suffixes can be added if needed to describe a given bifurcation lesion, making this bifurcation also very comprehensive. In this perspective, the shortcomings of the Medina classification compared to the Movahed classification are discussed in detail.
1.1.1、1.0.1和0.1.1。非真性分叉病变分为三个不必要的亚组，称为0.0.1、0.1.0和1.0.0。此外，梅迪纳分类法并未描述给定分叉病变的任何其他重要特征，这使得在比较复杂分叉病变时它毫无用处。这导致了临床环境中的混乱以及分叉研究的停滞。莫瓦赫德分叉分类法通过将所有真性分叉病变归纳为一个简单的相关类别B2（B代表分叉，2表示分叉部位的主支和侧支均有显著病变），将非真性分叉病变归纳为两个简单类别B1m（B代表分叉，1 m表示只有主支有显著病变）和B1S病变（B代表分叉，1 s表示只有侧支有显著病变）克服了这些问题。此外，与此同时，如果需要，可以添加额外的无限制后缀来描述给定的分叉病变，这使得这种分叉分类也非常全面。从这个角度出发，详细讨论了梅迪纳分类法与莫瓦赫德分类法相比的缺点。
