Document Detail


A Novel Descriptive, Intelligible and Ordered (DINO) classification of coronary bifurcation lesions. Review of current classifications.
MedLine Citation:
PMID:  21187658     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Several classification systems for coronary artery bifurcation lesions (CABL) have been described in the literature, but despite the commendable effort to simplify a difficult subject in interventional cardiology, all of them have certain limitations and shortcomings.
METHODS AND RESULTS: The proposed Descriptive, INtelligible and Ordered (DINO) is a new descriptive and clinically oriented system of classifying CABLs. This classification system takes into consideration more details of the side branch angulation relative to the main branch. It uses self-explanatory terms and mnemonic characters (acronyms related to the branches of the bifurcation and the shape of side branch angulation). The DINO classification describes the extent of CABL distribution and designates its localization at the bifurcation region. Moreover, systematized simple and easy to remember terms may form a relevant classification basis for multicenter and meta-analysis investigations.
CONCLUSIONS: The DINO is the first verbally anchored, all-inclusive classification system of CABLs. It describes precisely side branch angulation, using self-explanatory and instructive terms that describe both the extent of the lesion's distribution and its localization. The current coronary bifurcation lesion classifications are reviewed.
Authors:
Shams Y-Hassan; Magnus C Lindroos; Christer Sylvén
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Publication Detail:
Type:  Comparative Study; Journal Article; Review     Date:  2010-12-24
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  75     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2011  
Date Detail:
Created Date:  2011-01-28     Completed Date:  2011-05-23     Revised Date:  2012-01-09    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  299-305     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Karolinska Institute, Karolinska University Hospital, Huddinge, S-141 86 Stockholm. shams.younis-hassan@karolinska.se
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon, Coronary / methods
Coronary Stenosis / classification*,  pathology,  therapy
Coronary Vessels / pathology
Humans
Terminology as Topic*
Comments/Corrections
Comment In:
Circ J. 2011;75(2):263-5   [PMID:  21258163 ]

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