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MCQ. ABCD classification for LM disease

Q. What will be class of the following LM bifurcation disease as per the newly proposed ABCD classification system? A. ABC B. ABc C. Ab D. BC Correct answer: B. ABc Explanation:  ABCD classification for LM bifurcation

ABCD classification for left main bifurcation lesions

A new classification system for LM bifurcation/ trifurcation lesions has been proposed.  1. Following nomenclature has been suggested:       A/a for LM coronary artery      B/b for LAD artery      C/c for left circumflex coronary artery      D/d for ramus intermedius artery (intermediate branch) Whether a capital or small letter would be used, depends upon the diameter of the vessel as explained below.  2. Each artery is given one of the above-mentioned letters if the stenosis is considered to be significant (i.e., >70% in lumen reduction visually,  or based on FFR or other resting indices, cCT-cFFR, IVUS, OCT). 3. If the stenosis is not considered significant, no letter would be assigned. 4. A capital letter is used if the vessel diameter is ≥3.5 mm, while a small letter is used if the diameter is smaller than 3.5.  5. The image below has significant stenosis in all three vessels i.e LM, LAD and LCx. LM and LAD arteries are more than 3.5 mm in diameter, whereas LCx is smaller than