Middle East Bifurcation Club Consensus Document on Percutaneous Revascularization of Bifurcation Lesions in Association with the National Heart Center – Saudi Health Council

Authors

• Khaled Al-Shaibi, Cardiac Center King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi ArabiaFollow
• Mirvat Alasnag, Cardiac Center King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi ArabiaFollow
• Haitham Amin, Mohammed bin Khalifa Cardiac Center, Awali, BahrainFollow
• Ali Nazmi Calik, UHS, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Cardiology Department, Istanbul, TurkeyFollow
• Ali AlMasood, Specialist Medical Center, Riyadh, Kingdom of Saudi ArabiaFollow
• Abdullah Alenezi, Chest Diseases Hospital, Kuwait City - KuwaitFollow
• Nouf Alanazi, King Saud University, Riyadh, Kingdom of Saudi ArabiaFollow
• Abdulrahman AlMoghairi, Adult Cardiology Department, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi ArabiaFollow
• Hadi Abu-Hantash, University of Jordan, Amman, JordanFollow
• Khaled AlMerri, Chest Diseases Hospital, Kuwait City - KuwaitFollow

Abstract

Bifurcation lesions are among the most challenging in percutaneous coronary intervention (PCI), with outcomes affected by anatomy, side-branch disease, and procedural variability. Existing European definitions and strategies require adaptation for Middle Eastern populations, where diabetes, obesity, and hypertension are highly prevalent and present earlier. The Middle East Bifurcation Club (MEBC), with the National Heart Center, used the Nominal Group Technique to standardize bifurcation PCI terminology, techniques, and treatment pathways tailored to regional demographics. The consensus provides evidence-based recommendations on imaging, provisional and 2-stent strategies, POT, and left main versus non-left main bifurcations, alongside practical algorithms and heart team guidance, highlighting the need for regional outcome data to optimize care.

Article Type

Clinical Practice Guideline

First Page

903

Last Page

919

Recommended Citation

Al-Shaibi, Khaled; Alasnag, Mirvat; Amin, Haitham; Calik, Ali Nazmi; AlMasood, Ali; Alenezi, Abdullah; Alanazi, Nouf; AlMoghairi, Abdulrahman; Abu-Hantash, Hadi; and AlMerri, Khaled (2026) "Middle East Bifurcation Club Consensus Document on Percutaneous Revascularization of Bifurcation Lesions in Association with the National Heart Center – Saudi Health Council," Saudi Medical Journal: Vol. 47: Iss. 5, Article 18.
DOI: https://doi.org/10.15537/1658-3175.8774