Management of Medina (0,0,1): Case Report

Percutaneous coronary intervention of bifurcation coronary lesions is associated with a high risk of major adverse cardiac events.

Identifying the side branch will come first, then deciding whether or not it is a significant one.

The aim of this article is to discuss how to manage the Medina 0,0,1 lesion: either optimal medical therapy or PCI.

The inverted T stenting has long been preferred in that matter, and was considered safe. And for that we will be reporting a case of a severe lesion of the first diagonal branch at its ostium.