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Bridging lesion verses bifurcation lesion

  1. #1
    Default Bridging lesion verses bifurcation lesion
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    Can you someone tell me what the exact difference is of a bridging lesion and a bifurcation lesion? In order to code stenting on both vessels treated for a bifurcation lesion do two stents need to be placed or can one stent be used? For example: the physician placed a stent from the distal Main into the ostium of the LAD due to a dissecting lesion. Is this considered a bifurcation lesion? Does the physician need to say specifically that the lesion was at the bifurcation? The description of bifurcation indicates its a lesion occurring adjacent to, and/or involving, the origin of a significant side branch that you do not want to lose, so wouldn't an ostium lesion constitute as a bifurcation lesion?
    Thanks so much!
    N. Aaron

  2. #2
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    Quote Originally Posted by nlaaron View Post
    Can you someone tell me what the exact difference is of a bridging lesion and a bifurcation lesion? In order to code stenting on both vessels treated for a bifurcation lesion do two stents need to be placed or can one stent be used? For example: the physician placed a stent from the distal Main into the ostium of the LAD due to a dissecting lesion. Is this considered a bifurcation lesion? Does the physician need to say specifically that the lesion was at the bifurcation? The description of bifurcation indicates its a lesion occurring adjacent to, and/or involving, the origin of a significant side branch that you do not want to lose, so wouldn't an ostium lesion constitute as a bifurcation lesion?
    Thanks so much!
    Bridging lesion is a stenosis with a few millimeters away from a second stenosis. A bifurcation lesion would involve the main vessel and a bifurcation vessel i.e LAD and diagonal artery. In your example, I would only bill for the stent in the left main.
    HTH,
    Jim Pawloski, CIRCC

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