European Bifurcation Club 2005, EBC 2005 – Bordeaux, France

Dedicated stents and delivery systems: advantages and drawbacks

Author: Dariusz Dudek, Institute of Cardiology, Krakow, Poland

SUMMARY

1. Proper treatment of bifurcation lesions requires a dedicated stent Platform
2. Specially tailored SDS is mandatory in order to:
   1. make that dedicated stent platform work correctly
   2. guarantee high safety level
   3. provide easy and fast operation
3. A proper, synergic combination of Platform + SDS is the crucial key of lecture for the optimal bifurcation device
4. Experience shows that kissing balloon post dilatation remainsmostly adopted in bif treatment, including BDS systems

• BDS systems are bulky to implant and as yet, bare and subject to not insignificant rates of restenosis
• However, maintanance of side branch access isimproved and the need for several stent layers isavoided
• Good future platform for loading with the appropriatedrug, however with respect to anatomical variations
• The high prevalence of bifurcations lesions in cath labscalls for further development of bifurcation dedicatedstents

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