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1

Kalinin, Roman E., Igor’ A. Suchkov, Aleksandr V. Karpov, and Ivan N. Shanayev. "Anatomic Variants and Features of Atherosclerotic Lesion of Coronary Artery Bifurcations." Nauka molodykh (Eruditio juvenium) 12, no. 1 (2024): 25–34. https://doi.org/10.23888/hmj202412125-34.

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INTRODUCTION: Atherosclerotic lesion of coronary arteries is the ultimate cause of the development of the coronary heart disease. The situation becomes more complicated with the involvement of bifurcations of the coronary arteries, since their endovascular correction presents a problem which has not been completely solved until the present moment. AIM: To clarify the anatomic variants of coronary artery bifurcations and features of their lesion in atherosclerosis. MATERIALS AND METHODS: The study included 342 patients with an acute coronary syndrome, 85 of them had bifurcation stenoses of coro
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Stapleton, Christopher J., Jay I. Kumar, Brian P. Walcott, et al. "The effect of basilar artery bifurcation angle on rates of initial occlusion, recanalization, and retreatment of basilar artery apex aneurysms following coil embolization." Interventional Neuroradiology 22, no. 4 (2016): 389–95. http://dx.doi.org/10.1177/1591019916633243.

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Background Arterial bifurcations are common locations for aneurysm development given the altered hemodynamic forces and shear stress variations present at these locations. Recent reports indicate that a wide basilar artery bifurcation angle is an independent predictor of aneurysm development, growth, and subsequent rupture. Methods To determine the effect of basilar artery bifurcation angle on rates of initial occlusion, recanalization, and retreatment of basilar artery apex aneurysms following coil embolization, the records of 46 patients with basilar artery apex aneurysms treated with endova
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Chen, Bo, Wengui Tao, Shifu Li, et al. "Medial Gap: A Structural Factor at the Arterial Bifurcation Aggravating Hemodynamic Insult." Journal of Neuropathology & Experimental Neurology 81, no. 4 (2022): 282–90. http://dx.doi.org/10.1093/jnen/nlac017.

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Abstract Previous studies have reported that intracranial aneurysms frequently occur adjacent to the medial gap. However, the role of the medial gap in aneurysm formation is controversial. We designed this study to explore the potential role of the medial gap in aneurysm formation. Widened artery bifurcations with or without medial gaps were microsurgically created and pathologically stained in the carotid arteries of 30 rats. Numerical artery bifurcation models were constructed, and bidirectional fluid-solid interaction analyses were performed. Animal experiments showed that the apexes of wid
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Lee, Oh-Hyun, Ji Woong Roh, Eui Im, et al. "Feasibility and Safety of the Left Distal Radial Approach in Percutaneous Coronary Intervention for Bifurcation Lesions." Journal of Clinical Medicine 10, no. 10 (2021): 2204. http://dx.doi.org/10.3390/jcm10102204.

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Recently, the left distal radial approach (DRA) for percutaneous coronary intervention (PCI) has been shown to be a feasible option, but there are limited data regarding the feasibility of performing bifurcation PCI via the left DRA. Therefore, this study aimed to describe our experience with the contemporary left DRA to perform PCI of bifurcation lesions. Between December 2017 and December 2019, we identified 106 patients treated with bifurcation PCI via the left DRA. We evaluated the success rate of PCI, access-site complications including major bleeding requiring surgery or transfusion, hem
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Molavi Zarandi, Marjan, Rosaire Mongrain, and Olivier F. Bertrand. "Determination of Flow Conditions in Coronary Bifurcation Lesions in the Context of the Medina Classification." Modelling and Simulation in Engineering 2012 (2012): 1–10. http://dx.doi.org/10.1155/2012/419087.

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Coronary artery bifurcation lesions are complex and several classifications are presented to describe them. Recently, the Medina classification has been proposed. This classification uses binary values for characterization of stenosis. Flow conditions according to Medina classification have not been described. In this paper, bifurcation lesions corresponding to anatomical Medina lesion classification are compared on the basis of flow and Wall Shear Stress (WSS). Computational models of healthy and stenosed coronary artery bifurcations ((1, 1, 1), (0, 1, 1) and (1, 0, 1)) with moderate and seve
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Ingebrigtsen, Tor, Michael K. Morgan, Ken Faulder, Linda Ingebrigtsen, Trygve Sparr, and Henrik Schirmer. "Bifurcation geometry and the presence of cerebral artery aneurysms." Journal of Neurosurgery 101, no. 1 (2004): 108–13. http://dx.doi.org/10.3171/jns.2004.101.1.0108.

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Object. The angles of arterial bifurcations are governed by principles of work minimization (optimality principle). This determines the relationship between the angle of a bifurcation and the radii of the vessels. Nevertheless, the model is predicated on an absence of significant communication between these branches. The circle of Willis changes this relationship because the vessels proximal to the ring of vessels have additional factors that determine work minimization compared with more distal branches. This must have an impact on understanding of the relationship between shear stress and an
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7

M Ayman, Fakhry, Nagib Sohiel, and Elabd A. "Kissing Balloons Angioplasty for Infra-genicular Lower Limb Critical Ischemia." Archives of Anatomy and Physiology 10, no. 1 (2025): 001–5. https://doi.org/10.17352/aap.000024.

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Background: This study aimed to analyze the technical aspects and follow-up findings regarding patients with critical limb ischemia who underwent the Kissing Balloon Technique (KBT). Methods: 20 patients (22 bifurcations) were enrolled in this retrospective analysis between September 2020 and February 2022. All patients were submitted to infrapopletial intervention for critical limb ischemia. The KBT is the primary treatment in 3 situations: for cases with > 70% stenosis of the main artery located less than 1 cm of the bifurcation, occlusion of one branch with greater than 50% stenosis of t
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8

Koutouzi, Giasemi, Marcus Pfister, Katharina Breininger, Mikael Hellström, Håkan Roos, and Mårten Falkenberg. "Iliac artery deformation during EVAR." Vascular 27, no. 5 (2019): 511–17. http://dx.doi.org/10.1177/1708538119840565.

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Objectives To quantify the deformation of the common iliac artery caused by stiff guide wires and delivery systems during abdominal endovascular aortic repair (EVAR). Methods Twenty-two patients treated with abdominal EVAR were included. The following three image data-sets were acquired for each patient: (1) a preoperative computed tomography angiography (CTA), (2) an intraoperative contrast-enhanced cone beam CT (CBCT) obtained after the main trunk of the bifurcated stent graft was released and both iliac limbs were engaged with stiff guide wires, and (3) the first postoperative CTA. These da
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9

Kalinin, R. E., I. A. Suchkov, A. V. Karpov, and I. N. Shanaev. "Bifurcation stenting in patients with acute coronary syndrome." Russian Journal of Cardiology and Cardiovascular Surgery 18, no. 4 (2025): 399. https://doi.org/10.17116/kardio202518041399.

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Objective. To analyze the immediate and long-term results of bifurcation stenting in patients with acute coronary syndrome. Material and methods. The study included 265 patients with bifurcation coronary lesions who admitted with acute coronary syndrome. In 16 patients (6%), two lateral arteries arose from the affected area of the main artery. Thus, 281 bifurcations were included in the study. Patients underwent one-stent bifurcation stenting (provisional without kissing balloon dilation and provisional with kissing balloon dilation) and, if indicated, two-stent techniques (TAP, Culotte and DK
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10

Corballis, Natasha H., Sophie Paddock, Tharusha Gunawardena, Ioannis Merinopoulos, Vassilios S. Vassiliou, and Simon C. Eccleshall. "Drug coated balloons for coronary artery bifurcation lesions: A systematic review and focused meta-analysis." PLOS ONE 16, no. 7 (2021): e0251986. http://dx.doi.org/10.1371/journal.pone.0251986.

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Objectives We sought to systematically review the evidence supporting the role of drug coated balloons (DCBs) in the treatment of coronary bifurcation lesions. Background DCBs are emerging as an attractive alternative treatment strategy for treating coronary bifurcations due to simplifying the approach and reducing rates of stent related complications. We systematically reviewed the evidence for DCB use in coronary bifurcations and conducted a focused meta-analysis on late lumen loss in the side branch comparing DCB and plain old balloon angioplasty (POBA). Methods This study was conducted in
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Lella, Udayasree, Raja Adari, Umamaheswara Rao Sunnapu, and Yesupadamu Katuri. "A Morphological Study on Variations in the Level of Bifurcation of Brachial Artery." International Journal of Toxicological and Pharmacological Research 14, no. 7 (2024): 55–60. https://doi.org/10.5281/zenodo.13162797.

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<strong>Background:&nbsp;</strong>The Branchial artery is a continuation of the axillary artery, begins at the distal border of the tendon of the teres major and about a centimeter distal to the elbow&nbsp; joint i.e.&nbsp; at the level of the neck of the radius it is dividing into radial and ulnar arteries. There are so many variations in the bifurcation of brachial artery like higher level, low level bifurcation etc. Variations in bifurcation are clinically significant while during arterial canulation to the clinicians.&nbsp;<strong>Materials &amp; Methods:&nbsp;</strong>During routine disse
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12

KOBAYASHI, Hiroki, and Kotaro SUEMITSU. "High brachial artery bifurcation." Choonpa Igaku 46, no. 6 (2019): 523–29. http://dx.doi.org/10.3179/jjmu.jjmu.r.155.

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13

Deiana, Giuseppe, Antonio Baule, Genadi Genadiev Georgiev, et al. "Hybrid Solution for Mycotic Pseudoaneurysm of Carotid Bifurcation." Case Reports in Vascular Medicine 2020 (October 19, 2020): 1–4. http://dx.doi.org/10.1155/2020/8815524.

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Mycotic pseudoaneurysms of the extracranial carotid artery are rare and need surgical treatment to prevent rupture or embolization. We treated a case of a carotid bifurcation pseudoaneurysm secondary to infection caused by Staphylococcus epidermidis. We successfully treated it using a catheter balloon to obtain carotid bifurcation’s control and replacing the carotid bifurcation with a vein graft. Management involves aneurysmectomy associated with antibiotic therapy and restoration of arterial continuity.
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14

Ilic, Ivan, Radosav Vidakovic, Aleksandra Janicijevic, et al. "The increased main branch to stent diameter ratio is associated with side branch decreased coronary flow in "true" coronary artery bifurcations treated by "provisional" stenting - a two-dimensional quantitative coronary angiography study." Vojnosanitetski pregled 77, no. 1 (2020): 53–59. http://dx.doi.org/10.2298/vsp171228033i.

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Background/Aim. Percutaneous coronary interventions (PCI) in bifurcation lesions having more than 50% stenosis of both the main branch (MB) and the side branch (SB) remain challenging. Measurements of the vessel diameters and angles using quantitative coronary angiography (QCA) software have been used in evaluating PCI outcomes. We investigated potential effects of provisional stenting of the MB on SB coronary blood flow by determining quantitative vessel parameters in ?true? non-left main coronary bifurcation lesions using conventional two-dimensional QCA. Methods. The study was prospective a
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15

Aljubawii, Ameer Ahmad Abd AL-Ameer, Ali Ibrahim Ali, and Hassan Ali Essa Al Mamuri. "Relationship between modifiable atherosclerotic cardiovascular risk factors and coronary artery bifurcation lesion." Medical Journal of Babylon 20, no. 4 (2023): 777–83. http://dx.doi.org/10.4103/mjbl.mjbl_481_23.

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Abstract Background: Modifiable atherosclerotic cardiovascular disease risk factors are hypertension, diabetes mellitus, dyslipidemia, cigarette smoking, and obesity; the term coronary artery bifurcation is used when a coronary artery divides into two hemodynamically important branches or when the main branch has a hemodynamic significant side branch, bifurcation lesion represent 20% or more of coronary artery stenoses undergoing angiography. Objectives: To evaluate the relationship of hypertension, diabetes, dyslipidemia, cigarette smoking, and obesity to coronary bifurcation disease. Materia
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16

N.P, Singh, and Vikram Singh Yadav. "VARIATION IN BIFURCATION OF RIGHT BRACHIAL ARTERY: CASE REPORT." International Journal of Anatomy and Research 5, no. 3.1 (2017): 4090–91. http://dx.doi.org/10.16965/ijar.2017.257.

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17

Solangi, Aftab Ahmed, Nasr Ullah, Jalalu din, Amir Jamil, and Omer Aslam. "Provisional Vs Dual Stenting of Left Main Coronary Artery Bifurcation Lesions." Pakistan Journal of Medical and Health Sciences 16, no. 11 (2022): 629–31. http://dx.doi.org/10.53350/pjmhs20221611629.

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Background: The primary LMCA stenting methods used nowadays consist of single stent (provisional), and two stent (T and protrusion, and double kissing crush {DK crush}, culotte, or classic crush). The optimal technique for bifurcation lesion treatment for the patients present with distal ULMCA disease is still unclear and not much is known about the best course of action and the clinical outcomes following various PCI techniques for ULMCA bifurcations in Pakistan. Objective: To investigate the midterm (3-year) outcomes related to the provisional stenting compared to two-stenting technique for
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18

Wallace, K. D., B. A. Selcer, and J. L. Becht. "Technique for transrectal ultrasonography of the cranial mesenteric artery of the horse." American Journal of Veterinary Research 50, no. 10 (1989): 1695–98. https://doi.org/10.2460/ajvr.1989.50.10.1695.

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SUMMARY Transrectal ultrasonography was successfully used to image the cranial mesenteric artery and its branches in 23 adult horses. The artery could be imaged from its origin at the aorta distally to identify several bifurcations. The method for transrectal imaging of the cranial mesenteric artery and its major branches required 3 distinct transducer positions. One position was used to locate the cranial mesenteric artery by imaging the caudal portion of the aorta from the aortic bifurcation cranially to the level of the cranial mesenteric artery. The second position was used to image the or
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19

Thineshwaran Subramaniam and Mohammad Rasidi Rasani. "Pulsatile CFD Numerical Simulation to investigate the effect of various degree and position of stenosis on carotid artery hemodynamics." Journal of Advanced Research in Applied Sciences and Engineering Technology 26, no. 2 (2022): 29–40. http://dx.doi.org/10.37934/araset.26.2.2940.

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This study is intended to investigate the effect of various degree and position (pre-bifurcation and post-bifurcation) of stenosis on carotid artery hemodynamics trough realistic CFD numerical simulations with appropriate turbulence model. The blood rheological properties were assumed as incompressible and Newtonian fluid. A 3 dimensional model of a non-stenotic carotid artery model was used this investigation. Several turbulence model were tested. The non-stenotic artery geometry was altered as 30% and 70%pre-bifurcation stenosis model, 30% and 70% post-bifurcation stenosis model. Pulsatile s
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20

Castaño, C., M. Terceño, S. Remollo, MR García-Sort, and C. Domínguez. "Endovascular treatment of wide-neck intracranial bifurcation aneurysms with ‘Y’-configuration, double Neuroform® stents-assisted coiling technique: Experience in a single center." Interventional Neuroradiology 23, no. 4 (2017): 362–70. http://dx.doi.org/10.1177/1591019917708568.

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Background Intracranial wide-neck aneurysms at the arterial bifurcations, especially in the aneurysms where the bifurcating branches emanate directly from the base of the aneurysm, have been particularly difficult on which to perform endovascular treatment. The ‘Y’-configuration, double stent-assisted coil embolization is an option for the treatment of these difficult aneurysms, allowing the closure of the aneurysm, preserving the parent arteries. Material and methods In a nine-year period, 546 intracranial aneurysms in 493 patients were treated at our center by endovascular approach. We have
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Spanos, Konstantinos, Glykeria Petrocheilou, Christos Karathanos, Nicos Labropoulos, Dimitri Mikhailidis, and Athanasios Giannoukas. "Carotid Bifurcation Geometry and Atherosclerosis." Angiology 68, no. 9 (2016): 757–64. http://dx.doi.org/10.1177/0003319716678741.

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Hemodynamic changes occurring at the initial segments of the arterial bifurcations appear to play an important role in the development of atherosclerotic plaque. Therefore, arterial geometry might be a potential marker for atherosclerosis. Considerable evidence suggests that geometry can influence local hemodynamics at the carotid bifurcation contributing to the development of atheroma. Bifurcation angle, differences in the area ratios including the flare, proximal curvature, sinus bulb width, and tortuosity of the internal or external carotid artery have been listed as potential contributory
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Ib., FathElrahman Ab, and Elghazaly A. Elghazaly. "Variations of Bifurcation of the Common Carotid Artery, and Origin of Superior Thyroid Artery, in Sudanese: A Cadaveric Study." SAR Journal of Anatomy and Physiology 3, no. 3 (2022): 22–26. http://dx.doi.org/10.36346/sarjap.2022.v03i03.002.

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Background: Knowledge of the bifurcation level of the common carotid artery (CCA) is important during surgery, mummification, and radiological studies. This study aim to evaluate the anatomical variations in the bifurcation level of CCA, and the origin of the superior thyroid artery (STA), in Sudanese populations. Their knowledge reduces risk during surgery and helps in arterial ligation. Materials and Methods: 30 neck cadaveric specimens were evaluated on sides, using natural anatomical tools and methods for the anatomical studies. Results: The bifurcation of CCA was found at 36.7% at the lev
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Rigatelli, Gianluca, Marco Zuin, Dobrin Vassilev, Giulio Rodino’, Giuseppe Marchese, and Giampaolo Pasquetto. "Technical Complications of Coronary Bifurcation Percutaneous Interventions." Journal of Clinical Medicine 11, no. 22 (2022): 6801. http://dx.doi.org/10.3390/jcm11226801.

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Coronary bifurcation percutaneous interventions (PCI) comprise a challenging subset of patients with coronary artery disease. Beyond the well-known debate about single versus double stent strategies, which have different outcomes on mid- and long-term follow up, both strategies may be subject, although rarely, to several different technical complications, rarely reported in clinical trials, which need to be defined, classified, and understood by cardiovascular professionals involved in the management of patients with coronary bifurcation disease. The present paper aims to broaden the knowledge
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Moroz, V. V. "X-ray and anatomical features of arterial aneurisms of bifurcation of basilary artery." Endovascular Neuroradiology 31, no. 1 (2020): 42–55. http://dx.doi.org/10.26683/2304-9359-2020-1(31)-42-55.

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Objective ‒ to determine the main x-ray anatomical characteristics of arterial aneurisms (AA) of bifurcation of basilar artery (BA) and predictors of hemorrhagic transformation, taking into account the main options for the course of the disease.Materials and methods. Total on examination and treatment in the vascular departments of Romodanov Neurosurgery Institute for the period from 1998 to 2019 there were 687 (100 %) patients with AA of vertebrobasilar basin. AA of bifurcation of BA was diagnosed in 210 (30.6 %) patients. The hemorrhagic type of the course of the disease, in the presence of
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Rizik, David G. "Treating Bifurcation Coronary Artery Disease." Reviews in Cardiovascular Medicine 11, S1 (2010): 1–2. http://dx.doi.org/10.3909/ricm11s1s0006.

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La Pira, Biagia, and Giuseppe Lanzino. "Internal Carotid Artery Bifurcation Aneurysms." Contemporary Neurosurgery 37, no. 24 (2015): 1–6. http://dx.doi.org/10.1097/01.cne.0000482399.22049.d7.

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27

Habumuremyi, S., A. Omodan, C. Niyibigira, G. Ndayegamiye, and J. Gashegu. "Anatomical variation of high brachial artery bifurcation: A case report." Rwanda Medical Journal 80, no. 1 (2023): 79–83. http://dx.doi.org/10.4314/rmj.v80i1.10.

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INTRODUCTION: Anatomical variation of high brachial artery bifurcation and these morphological variations of the brachial artery should be considered by surgeons when performing procedures in the brachial artery area.CASE: The left anterior arm and anterior forearm regions of a thirty-three-year-old cadaver was dissected. The origin, course, and terminal branches of the Brachial artery were traced. It was then observed that the Brachial artery bifurcation was in the upper third of the humerus instead of the cubital fossa. CONCLUSION: Brachial artery and its terminal branch variations are less
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Islam, AHM Waliul, Shahabuddin Talukder, Sham Munwar, AQM Reza, Tamzeed Ahmed, and Kazi Atikur Rahman. "Percutaneous Coronary Intervention of Bifurcation Lesion." Cardiovascular Journal 14, no. 2 (2022): 168–75. http://dx.doi.org/10.3329/cardio.v14i2.58782.

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Bifurcation lesion whether it is left main (LM) stem disease with left main to left anterior descending artery (LM-LAD) or left main to left circumflex (LM-LCX), LAD-Diagonal or LCX-Obtuse marginal or right coronary artery- posterior descending artery (RCA-PDA); are not uncommon lesion type that needs to be revascularized either by percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) to establish the coronary flow and relieved patient anginal symptoms. Even though, many of the literature maintained non-inferiority of bifurcation lesion PCI over CABG and is Class IIb
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Melber, Katharina, Dan Meila, Philipp Draheim, et al. "Vascular angular remodeling by kissing-Y stenting in wide necked intracranial bifurcation aneurysms." Journal of NeuroInterventional Surgery 9, no. 12 (2016): 1233–37. http://dx.doi.org/10.1136/neurintsurg-2016-012858.

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IntroductionSingle stent deployment leads to a change in vascular geometry in wide necked bifurcation aneurysms. In some complex cases, the use of the single stent technique might not be sufficient or may not be feasible. The kissing-Y stenting technique appears to be an alternative endovascular treatment option. The aim of this study was to evaluate the effects of the kissing-Y stenting technique on vascular angular remodeling.Methods21 patients with wide necked intracranial bifurcation aneurysms at different sites (10 anterior communicating artery, 6 middle cerebral artery, 3 basilar artery,
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Akdağ, Rifat, Ugur Soylu, Özhan Merzuk Uçkun, Ömer Polat, İdris Gürpınar, and Ergün Dağlıoğlu. "Aneurysm Formation at the Internal Carotid Artery Bifurcation Is Related to the Vascular Geometry of the Bifurcation." Brain Sciences 14, no. 12 (2024): 1247. https://doi.org/10.3390/brainsci14121247.

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Background: In this study, we aimed to comparatively evaluate the morphology of internal carotid artery (ICA) bifurcations with and without aneurysms and identify risk factors for aneurysm development that are associated with the bifurcation geometry. Method: In this two-center study, the computerized tomography angiography data of 1512 patients were evaluated. The study included 64 (4.2%) patients with ICA bifurcation aneurysms (ICAbifAn) and patients with anterior circulation aneurysms (non-ICAbifAn). ICA (P1) was defined as the parent artery, and the middle (M1) and anterior (A1) cerebral a
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31

Hu, Shuang-Long, Chun-Xin Wang, Hui-Jun Lu, and Ye Yuan. "Management of injuries near the innominate artery bifurcation using an accurate kissing Viabahn stent technique." Journal of International Medical Research 48, no. 5 (2020): 030006052091210. http://dx.doi.org/10.1177/0300060520912104.

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Objective To evaluate the feasibility, safety, and efficacy of an accurate kissing Viabahn stent technique to manage injuries near the innominate artery bifurcation. Methods This retrospective study included patients with injuries near the innominate artery bifurcation who were treated with an accurate kissing Viabahn stent technique. Perioperative and follow-up data were extracted and analysed. Results A total of 10 patients were included (mean age, 52.8 years; six male and four female patients) with injuries at the following sites: the distal end of the innominate artery ( n = 2), the innomi
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Manukyian, S. N., D. A. Khelimskii, A. G. Badoyan, A. A. Baranov, D. Abbasov, and O. V. Krestyaninov. "Modern possibilities of intravascular imaging in the treatment of coronary artery bifurcation lesions." Russian Journal of Cardiology and Cardiovascular Surgery 18, no. 4 (2025): 434. https://doi.org/10.17116/kardio202518041434.

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Among various coronary artery lesions, a special place is occupied by bifurcation lesions accounting for 15—20% in the structure of atherosclerotic coronary artery lesions. Intravascular imaging is essential in optimizing and stenting of such lesions due to anatomical features and technical difficulties of endovascular interventions for bifurcation lesions. This review summarizes clinical data on intravascular imaging in the treatment of bifurcation lesions. In addition, it explores the capabilities of intravascular imaging at each stage of bifurcation stenting.
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Lioupis, Christos, Hiren Mistry, Cornelia Junghans, et al. "High Brachial Artery Bifurcation is Associated with Failure of Brachio-Cephalic Autologous Arteriovenous Fistulae." Journal of Vascular Access 11, no. 2 (2010): 132–37. http://dx.doi.org/10.1177/112972981001100209.

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Objective Although European Best Practice Guidelines on vascular access recommend universal pre-operative duplex scan in patients receiving brachio-cephalic (BC) arteriovenous fistulae (AVF), this is not widespread practice. Furthermore, cadaveric and angiographic studies suggest that variation in upper limb arterial anatomy is common. Our aim was to investigate the prevalence of high brachial artery bifurcation (HB) and its impact on BC AVF patency. Methods A retrospective analysis of consecutive autologous BC AVF created over an 18-month period (January 2008 to June 2009). Patients with high
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Zheng, Wayne C., Edward Buratto, Federica Caldaroni, Shuta Ishigami, Igor E. Konstantinov, and Yves d’Udekem. "T-Remodeling of the Pulmonary Artery Bifurcation for Pulmonary Artery Origin Stenosis." World Journal for Pediatric and Congenital Heart Surgery 14, no. 6 (2023): 716–22. http://dx.doi.org/10.1177/21501351231181109.

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Background Various surgical techniques are utilized for reconstructing hypoplastic pulmonary arteries (PAs) in patients with conotruncal anomalies and at times, may be susceptible to restenosis and reoperation. We reviewed our experience with a simple technique of T-shaped remodeling of the PA bifurcation. Methods Between 2005 and 2019, 31 patients underwent T-remodeling of central PAs by a single cardiac surgeon. The PA bifurcation was opened cranially, and the opening was augmented with an oval-shaped patch effectively transforming the V-shaped bifurcation into a T-shaped bifurcation. Both o
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Yagmurlu, Kaan, Sam Safavi-Abbasi, Evgenii Belykh, et al. "Quantitative anatomical analysis and clinical experience with mini-pterional and mini-orbitozygomatic approaches for intracranial aneurysm surgery." Journal of Neurosurgery 127, no. 3 (2017): 646–59. http://dx.doi.org/10.3171/2016.6.jns16306.

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OBJECTIVEThe aim of this investigation was to modify the mini-pterional and mini-orbitozygomatic (mini-OZ) approaches in order to reduce the amount of tissue traumatization caused and to compare the use of the 2 approaches in the removal of circle of Willis aneurysms based on the authors' clinical experience and quantitative analysis.METHODSThree formalin-fixed adult cadaveric heads injected with colored silicone were examined. Surgical freedom and angle of attack of the mini-pterional and mini-OZ approaches were measured at 9 anatomical points, and the measurements were compared. The authors
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Kruglov, E. A., and M. R. Hokonov. "Using MSCT to Diagnose and Categorize High Bifurcation of the Common Carotid Artery Before Carotid Endarterectomy in Older Individuals." Russian Journal of Geriatric Medicine, no. 3 (September 20, 2024): 240–44. http://dx.doi.org/10.37586/2686-8636-3-2024-240-244.

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Carotid endarterectomy (CEA) is the mainstay of treatment for carotid artery stenosis for the prevention of ischemic strokes. The variant anatomy of the structure of the brachiocephalic arteries, namely the high bifurcation of the common carotid artery, requires a careful approach to planning surgical intervention. A multidisciplinary approach requires a clear and informative diagnostic algorithm for the examination of patients with high bifurcation of the carotid arteries, involving the collaboration of a radiologist and a vascular surgeon. An attempt to classify variant structural features o
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Mukherji, Srijon, and Yogendra Singh Chauhan. "An Anatomical Variant: Low Lying Common Carotid Artery Bifurcation." International Journal of Head and Neck Surgery 4, no. 2 (2013): 105–6. http://dx.doi.org/10.5005/jp-journals-10001-1152.

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ABSTRACT The common carotid artery usually bifurcates into the internal and external carotid arteries at the level of C3-C4. Injury to common carotid artery during neck dissection is encountered rarly. Knowing the anatomical variation of common carotid like low lying bifurcation would prevent inadvertent injury especially by budding head-neck surgeons. We report a case of 46-yearold male undergoing surgery for carcinoma of tongue with Supraomohyoid neck dissection. He had low-lying bifurcation of the common carotid artery. How to cite this article Chauhan YS, Mukherji S. An Anatomical Variant:
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Huang, Xu, Xiaoping Yin, Yingjin Xu, et al. "Morphometric and hemodynamic analysis of atherosclerotic progression in human carotid artery bifurcations." American Journal of Physiology-Heart and Circulatory Physiology 310, no. 5 (2016): H639—H647. http://dx.doi.org/10.1152/ajpheart.00464.2015.

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Although atherosclerosis has been widely investigated at carotid artery bifurcation, there is a lack of morphometric and hemodynamic data at different stages of the disease. The purpose of this study was to determine the lesion difference in patients with carotid artery disease compared with healthy control subjects. The three-dimensional (3D) geometry of carotid artery bifurcation was reconstructed from computed tomography angiography (CTA) images of Chinese control subjects ( n = 30) and patients with carotid artery disease ( n = 30). We defined two novel vector angles (i.e., angles 1 and 2)
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Choi, Hyo Won, Zhen-Du Zhang, Neil D. Farren, and Ghassan S. Kassab. "Implications of complex anatomical junctions on conductance catheter measurements of coronary arteries." Journal of Applied Physiology 114, no. 5 (2013): 656–64. http://dx.doi.org/10.1152/japplphysiol.00987.2012.

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In vivo, the position of the conductance catheter to measure vessel lumen cross-sectional area may vary depending on where the conductance catheter is deployed in the complex anatomical geometry of arteries, including branches, bifurcations, or curvatures. The objective here is to determine how such geometric variations affect the cross-sectional area (CSA) estimates obtained using the cylindrical model. Computer simulations and in vitro and in vivo experiments were used to assess how the electric field and associated CSA measurement accuracy are affected by three typical in vivo conditions: 1
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Geerlings-Batt, Jade, and Zhonghua Sun. "Evaluation of the Relationship between Left Coronary Artery Bifurcation Angle and Coronary Artery Disease: A Systematic Review." Journal of Clinical Medicine 11, no. 17 (2022): 5143. http://dx.doi.org/10.3390/jcm11175143.

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Recent studies have suggested a relationship between wide left coronary artery bifurcation (left anterior descending [LAD]-left circumflex [LCx]) angle and coronary artery disease (CAD). Current literature is multifaceted. Different studies have analysed this relationship using computational fluid dynamics, by considering CAD risk factors, and from simple causal-comparative and correlational perspectives. Hence, the purpose of this systematic review was to critically evaluate the current literature and determine whether there is sufficient evidence available to prove the relationship between L
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Shi, Yanxiang. "Chaos and Control in Coronary Artery System." Discrete Dynamics in Nature and Society 2012 (2012): 1–15. http://dx.doi.org/10.1155/2012/631476.

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Two types of coronary artery system N-type and S-type, are investigated. The threshold conditions for the occurrence of Smale horseshoe chaos are obtained by using Melnikov method. Numerical simulations including phase portraits, potential diagram, homoclinic bifurcation curve diagrams, bifurcation diagrams, and Poincaré maps not only prove the correctness of theoretical analysis but also show the interesting bifurcation diagrams and the more new complex dynamical behaviors. Numerical simulations are used to investigate the nonlinear dynamical characteristics and complexity of the two systems,
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Al Talalwah, W., D. Getachew, and R. Soames. "Morphological feature of brachial artery and its clinical significance." Journal of Morphological Sciences 32, no. 03 (2015): 129–34. http://dx.doi.org/10.4322/jms.079014.

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Abstract Introduction: The present study is to provide comprehensive data concerning the morphology of brachial artery which has a clinical significance for clinicians, orthopedics, vascular surgeons and anatomists. Materials and Methods: Routine dissections of the right and left upper limb of 34 adult cadavers (20 male and 14 female: mean age 78.9 year) were undertaken. It investigates the characteristics of the brachial artery such as the internal diameter, external diameter, wall thickness and distance of bifurcation of brachial artery. Results: The mean of the external and internal diamete
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Borisov, V. G., Yu N. Zakharov, V. P. Derbilova, R. A. Vinogradov, and N. V. Ivanova. "The influence of inlet flow asymmetry on the carotid bifurcation hemodynamics." Journal of Physics: Conference Series 2701, no. 1 (2024): 012010. http://dx.doi.org/10.1088/1742-6596/2701/1/012010.

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Abstract Arterial bifurcations are known to be high-risk areas for the initiation of atherosclerosis. The appearance and growth of atherosclerotic plaques in the bifurcation of the carotid artery can result in severe consequences such as cerebrovascular accidents. The common signs of an atherogenic risk center around the surpassing critical values by certain hemodynamic indices, which are distributed over the artery wall. These indices are related to the effect of blood flow on the arterial wall, and their distribution is influenced by both the bifurcation’s geometric shape and the flow struct
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Rus, Marius, Georgiana Carmen Filimon, and Adriana Ioana Ardelean. "T and Small Protrusion (TAP) Technique in Bifurcations: Coronary Artery Disease in Acute Myocardial Infarction Patients after COVID-19 Pneumonia." Biomedicines 11, no. 8 (2023): 2255. http://dx.doi.org/10.3390/biomedicines11082255.

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Ischemic coronary artery disease in all its forms remains the main cause of death worldwide. Coronary artery bifurcation lesions are a challenge because of their complexity and possible complications. The goal of treating bifurcation lesions is the optimal revascularization of the main vessel without compromising the side branch. Although the study of bifurcation stenting aims to keep the side branch viable, the outcomes regarding major acute cardiovascular events and survivability are related to the optimal treatment of the main vessel. There are many trials that have tried to evaluate the be
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Gazala, Shaireen, Zainab Humaira, and Ibrahim Pasha Mohd. "Correlative Study of Length of Upper Limb with Position of Bifurcation of Brachial Artery in Males of North Karnataka Population." International Journal of Pharmaceutical and Clinical Research 15, no. 12 (2023): 639–42. https://doi.org/10.5281/zenodo.11192420.

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<strong>Background:</strong>&nbsp;Variations of the brachial artery are often observed in autopsies, which are probably due to their complex embryonic development. Hence, knowledge of variations in the brachial artery is mandatory for clinicians, especially orthopedicians, during amputation.&nbsp;<strong>Method:</strong>&nbsp;30 (thirty) male, non-pathological cadavers were dissected. Tailor&rsquo;s tape was used to measure the length of the upper limb (UL). (A)-UL was measured from the tip of the acromion process of the scapula to the tip of the middle finger. (B) The position of bifurcation
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Diletti, Roberto, and Nicolas M. Van Mieghem. "Personal Experience with Bioresorbable Scaffolds in Bifurcations." Interventional Cardiology Review 8, no. 2 (2013): 93. http://dx.doi.org/10.15420/icr.2013.8.2.93.

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Bioresorbable scaffolds represent a promising new technology in the field of percutaneous coronary interventions. The concept of the eventual resorption of the scaffold pertains to multiple theoretical advantages that may hold true particularly in bifurcation lesions – no permanent caging of the coronary artery, avoidance of acquired device malapposition and delayed hypersensitivity reactions, no permanent metallic stent protrusion in the main branch, etc. The worldwide experience with the use of bioresorbable scaffolds is limited. In our experience of selected bifurcation lesions, a provision
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Santilli, S. M., R. B. Stevens, J. G. Anderson, W. D. Payne, and M. D. Caldwell. "Transarterial wall oxygen gradients at the dog carotid bifurcation." American Journal of Physiology-Heart and Circulatory Physiology 268, no. 1 (1995): H155—H161. http://dx.doi.org/10.1152/ajpheart.1995.268.1.h155.

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The purpose of this study was to determine the effect of the carotid artery bifurcation on the delivery of oxygen to the artery wall by measuring the transarterial wall oxygen gradient. Transarterial wall oxygen gradient measurements were performed in dogs anesthetized with thiopental sodium and isoflurane by means of an oxygen microelectrode. Measurements were performed at six locations along the carotid bifurcation. Oxygen tensions at the carotid sinus were decreased in the inner 40% of the artery wall compared with control locations. Oxygen tensions at the flow divider were increased throug
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ZHANG, BO, YILUN JIN, XIAORAN WANG, TAISHENG ZENG, and LIANSHENG WANG. "NUMERICAL SIMULATION OF TRANSIENT BLOOD FLOW THROUGH THE LEFT CORONARY ARTERY WITH VARYING DEGREES OF BIFURCATION ANGLES." Journal of Mechanics in Medicine and Biology 17, no. 01 (2017): 1750005. http://dx.doi.org/10.1142/s0219519417500051.

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Atherosclerosis is a cardiovascular condition that can occur in any part of the vascular system. Especially, it can exist in bifurcated arteries such as the left and right coronary arteries, abdominal aortic bifurcation or carotid artery bifurcation. In our study, we examine the left coronary artery as an exemplification using wall shear stress (WSS) and wall pressure gradient (WPG). Then, we attempt to find the relationship between bifurcated arterial geometry and hemodynamics. Computational fluid dynamics (CFD) is a common technique applied to characterize blood flow accurately and assist us
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Blagojevic, Milan, Aleksandar Nikolic, Miroslav Zivkovic, Milorad Zivkovic, and Goran Stankovic. "A novel framework for fluid/structure interaction in rapid subject specific simulations of blood flow in coronary artery bifurcations." Vojnosanitetski pregled 71, no. 3 (2014): 285–92. http://dx.doi.org/10.2298/vsp1403285b.

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Background/Aim. Practical difficulties, particularly long model development time, have limited the types and applicability of computational fluid dynamics simulations in numerical modeling of blood flow in serial manner. In these simulations, the most revealing flow parameters are the endothelial shear stress distribution and oscillatory shear index. The aim of this study was analyze their role in the diagnosis of the occurrence and prognosis of plaque development in coronary artery bifurcations. Methods. We developed a novel modeling technique for rapid cardiovascular hemodynamic simulations
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Kalinin, R. E., I. A. Suchkov, E. A. Klimentova, I. N. Shanaev, and V. A. Yudin. "Topographic-anatomical characteristics of artery tibialis posterior and its branches in the area of ankle canal." NAUKA MOLODYKH (Eruditio Juvenium) 9, no. 3 (2021): 493–500. http://dx.doi.org/10.23888/hmj202193493-500.

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AIM: To clarify peculiarities of the anatomy and topography of the plantar vessels in the area of the ankle canal, to justify access to the bifurcation of the artery tibialis posterior and ultrasound examination of the plantar arteries. The results of anatomical preparations of 10 amputated lower limbs, and of ultrasound duplex angioscanning (DUS) of 30 healthy volunteers without pathology of the vascular system performed using a linear transducer with frequency of 7–12 MHz, were studied. According to the data of anatomical preparation and ultrasound examination, the bifurcation level of the a
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