From: Practical based approach to left main bifurcation stenting
Strategy | Anatomical features |
---|---|
Favors the Provisional Approach | • Insignificant stenosis at the ostial LCX with MEDINA classification 1,1,0 or 1,0,0 • Small LCX <2.5 mm in diameter • Diminutive LCX, right dominant coronary system • Wide angle between LAD and LCX • No concomitant disease or only focal disease in LCX |
Favors the Two-Stent Technique | • Significant stenosis at the ostial LCX with MEDINA classification 1,1,1 or 1,0,1 or 0,1,1 • Large LCX ≥2.5 mm in diameter • Diseased left dominant coronary system • Narrow angle between LAD and LCX • Concomitant diffuse disease in LCX |