Earlier coronary bifurcation blockages used to get treated by bypass surgery. However with the advent of various techniques and technology, angioplasty can be done with excellent long- term result. It should be done by experinced interventional cardiologist.
Experienced interventionalists have developed a specialized approach to individualize patient treatment for these blockages, but the treatment procedure is sometimes technically demanding.
Dr Dash’s approach for bifurcation blockages includes
- Main branch stenting with provisional T stenting. One should avoid the use of more than one stent, if possible (except under certain situations). If more than one stent is used to treat the blockage, there is an increased risk of blood clot formation on the stents. Therefore, the patient’s blood thinning regimen (anticoagulant medication) often needs to be modified.
- In addition to the usual guide wire that is placed in the main vessel, cardiologist places a second guide wire through the stent in the main vessel and performs a "kissing balloon" inflation after the first stent has been placed.