开口及分叉处病变.pptVIP

开口处病变 Aorto-Ostial Lesions: Guiding Catheter Selection 分叉处病变 Bifurcation Lesions: Risk of Sidebranch Occlusion SBO Classification of Bifurcation Lesions * * 开口及分叉处病变 Ostial Lesion Classification Aorto - ostial Branch Ostial Junction between the aorta and orifice of the RCA, SVG, or LM Junction between a large epicardial vessel and its branch; also called “origin” lesion The key to success is co-axial alignment, not a “power position.” Remember that sidehole guides will permit passive perfusion and reduce pressure damping and ischemia, but do NOT prevent vessel injury. Aorto-Ostial Lesions