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MADS* classification of bifurcation stenting techniques MADS* classification of bifurcation stenting techniques 1 Stent After balloon 2 Stents 3 Stents M M Main prox. first A Main A Accross side first D D Distal first S S Side branch first PM stenting Skirt MB stenting accross SB ½ SKS SB ostial stenting Extended V Elective T stenting Internal crush Culotte TAP V stenting SKS SB minicrush SB crush Syst. T Stenting Minicrush Crush MB stenting + kissing Trouser legs and seat MB stenting + SB balloon ½ V DM stenting Inverted Y. Louvard, CCI 2008 Feb 1;71(2):175-83. * R. Kornowski

MADS* classification of bifurcation stenting techniques · Y. Louvard, CCI 2008 Feb 1;71(2):175-83. 1 Stent After balloon 2 Stents 3 Stents M Main prox. first A MB to SB Accross MB

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Page 1: MADS* classification of bifurcation stenting techniques · Y. Louvard, CCI 2008 Feb 1;71(2):175-83. 1 Stent After balloon 2 Stents 3 Stents M Main prox. first A MB to SB Accross MB

MADS* classification of bifurcation stenting techniquesMADS* classification of bifurcation stenting techniques

1 Stent

Afterballoon

2 Stents

3 Stents

MMMain prox. first

AMain AAccross side first

DDDistal first

SSSide branch first

PM stenting

Skirt

MB stenting accross SB

½ SKS

SB ostial stenting

Extended V

ElectiveT

stenting

Internalcrush

Culotte TAP Vstenting

SKS

SB minicrush

SB crush

Syst. T Stenting

Minicrush Crush

MB stenting + kissing

Trouser legsand seat

MB stenting + SB balloon ½ V

DM stenting

Inverted

Y. Louvard, CCI 2008 Feb 1;71(2):175-83.* R. Kornowski

Page 2: MADS* classification of bifurcation stenting techniques · Y. Louvard, CCI 2008 Feb 1;71(2):175-83. 1 Stent After balloon 2 Stents 3 Stents M Main prox. first A MB to SB Accross MB

MADS classification of bifurcation stenting techniquesMADS classification of bifurcation stenting techniques

Y. Louvard, CCI 2008 Feb 1;71(2):175-83.

1 Stent

Afterballoon

2 Stents

3 Stents

MMMain prox. first

AMB to SB AAccross MB first

DDD istal first

SDMDM branch first

Inv. MB stenting accross SB

DM ostial stenting

ElectiveT

stenting

Internalcrush

Culotte ExageratedY

DM minicrush

DM crush

Inv. Syst. T

Stenting

Inv.Minicrush

Inv.Crush

MB stenting + kissing

MB stenting + SB balloon

Inverted

InvertedInverted techniquestechniques