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The Use of the Medina Coronary Bifurcation Classification has Led to Confusion and Missing One Third of True Bifurcation Lesions. The Movahed Bifurcation Classification Should be the Preferred Classification as it Categorizes All True Bifurcation Lesions in One Simple Category B2 Lesions with Limitless Suffixes that Can be Added if Needed.

作者信息

Movahed Mohammad Reza

机构信息

University of Arizona Sarver Heart Center, 1501 North Campbell Avenue, Tucson, AZ, 85724, USA.

University of Arizona, Phoenix, AZ, USA.

出版信息

J Cardiovasc Transl Res. 2025 Sep 4. doi: 10.1007/s12265-025-10690-3.

DOI:10.1007/s12265-025-10690-3
PMID:40906065
Abstract
摘要

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1
The Use of the Medina Coronary Bifurcation Classification has Led to Confusion and Missing One Third of True Bifurcation Lesions. The Movahed Bifurcation Classification Should be the Preferred Classification as it Categorizes All True Bifurcation Lesions in One Simple Category B2 Lesions with Limitless Suffixes that Can be Added if Needed.Medina冠状动脉分叉病变分类法导致了混淆,且遗漏了三分之一的真性分叉病变。Movahed分叉病变分类法应作为首选分类法,因为它将所有真性分叉病变归为一个简单的B2类病变,如有需要还可添加无限的后缀。
J Cardiovasc Transl Res. 2025 Sep 4. doi: 10.1007/s12265-025-10690-3.
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The use of the Medina coronary bifurcation classification has led to inaccuracy by mixing non-true with true bifurcation lesions thus making reported outcome data meaningless. The use of the Movahed classification that categorizes all true bifurcation lesions in one simple category B2 lesions could have prevented this flaw.梅迪纳冠状动脉分叉病变分类的使用,通过将非真性分叉病变与真性分叉病变混为一谈,导致了结果不准确,从而使得所报告的结果数据毫无意义。而莫瓦赫德分类法将所有真性分叉病变归为一个简单的B2类病变,本可避免这一缺陷。
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本文引用的文献

1
Letter to the Editor - Optimizing Culotte Technique with Double Kissing Balloon Inflation: A Response to Berkay Serter´s Letter to the Editor.致编辑的信——采用双球囊吻合法优化裤裙技术:对贝凯·塞尔特致编辑信的回应
J Cardiovasc Transl Res. 2025 Aug;18(4):1015-1016. doi: 10.1007/s12265-025-10682-3. Epub 2025 Aug 18.
2
The shortcomings of the Medina compared to the Movahed coronary bifurcation classification.与莫瓦赫德冠状动脉分叉分类法相比,麦地那分类法的缺点。
Future Cardiol. 2025 Jan;21(1):31-37. doi: 10.1080/14796678.2024.2444156. Epub 2024 Dec 23.
3
The Movahed Coronary Bifurcation Lesion Classification Introduces Limitless Optional Suffixes That Can Easily be Used for Clinical Use or Coding Purposes.
莫瓦赫德冠状动脉分叉病变分类引入了无数可选后缀,可轻松用于临床或编码目的。
Anatol J Cardiol. 2023 May;27(5):295-296. doi: 10.14744/AnatolJCardiol.2023.3182.
4
Studies involving coronary bifurcation interventions should utilize the most comprehensive and technically relevant Movahed coronary bifurcation classification for better communication and accuracy.涉及冠状动脉分叉介入治疗的研究应采用最全面且技术相关性最强的莫瓦赫德冠状动脉分叉分类法,以实现更好的沟通并提高准确性。
Am J Cardiol. 2010 Apr 15;105(8):1204-5. doi: 10.1016/j.amjcard.2009.12.030.
5
A new proposed simplified classification of coronary artery bifurcation lesions and bifurcation interventional techniques.一种新提出的冠状动脉分叉病变及分叉介入技术简化分类法。
J Invasive Cardiol. 2006 May;18(5):199-204.