Role of Intravascular Imaging in Percutaneous Coronary Interventions for Left Main Coronary Bifurcation Lesions
https://doi.org/10.35401/2541-9897-2025-10-1-119-127
Abstract
The number of interventions for left main coronary bifurcation lesions in the Russian Federation increase annually. Such lesions are among the most challenging cases for endovascular treatment due to a high risk of cardiovascular complications. They are difficult to assess by angiography, and surgeons frequently encounter difficulties during interventions. To avoid complications and improve long-term outcomes, it is crucial to accurately determine the appropriateness of an intervention, assess characteristics of the lesion, and choose the most effective treatment strategy, and intravascular imaging methods, such as fractional flow reserve measurement, intravascular ultrasonography, and optical coherence tomography, can assist in doing so. Recent research demonstrates the effectiveness of these imaging methods at each stage of surgery; however, several contentious and debatable issues that warrant attention and further investigation remain. This article reviews the latest research regarding the use of intravascular imaging to optimize percutaneous coronary interventions in patients with left main coronary bifurcation lesions, as well as to highlight unresolved issues that require further exploration.
About the Authors
Svetlana K. Loginova
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Svetlana K. Loginova, Postgraduate Student, Research Assistant, Department of Hospital Surgery with the Pediatric Surgery Course, Institute of Medicine
ulitsa Miklukho-Maklaya 6, Moscow, 117198
Shoista Sh. Fatulloeva
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Shoista Sh. Fatulloeva, Postgraduate Student, Department of Hospital Surgery with the Pediatric Surgery Course, Institute of Medicine
ulitsa Miklukho-Maklaya 6, Moscow, 117198
Gumer R. Dechev
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Gumer R. Dechev, Postgraduate Student, Department of Hospital Surgery with the Pediatric Surgery Course, Institute of Medicine
ulitsa Miklukho-Maklaya 6, Moscow, 117198
Daniil A. Maximkin
Patrice Lumumba Peoples’ Friendship University of Russia
Russian Federation
Russian Federation
Daniil A. Maximkin, Cand. Sci. (Med.), Associate Professor at the Department of Hospital Surgery with the Pediatric Surgery Course, Institute of Medicine
ulitsa Miklukho-Maklaya 6, Moscow, 117198
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For citations:
Loginova S.K., Fatulloeva Sh.Sh., Dechev G.R., Maximkin D.A. Role of Intravascular Imaging in Percutaneous Coronary Interventions for Left Main Coronary Bifurcation Lesions. Innovative Medicine of Kuban. 2025;10(1):119-127. (In Russ.) https://doi.org/10.35401/2541-9897-2025-10-1-119-127
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