EBC - ON DEMAND
European Bifurcation Club 2006 – EBC 2006 – Rome, Italy
Very simple, simple or complex approach ? Part II
Bifurcation Stenting Is a Risk Factor for Stent Thrombosis
Author: Ioannis Iakovou, MD, General Army Hospital of Thessaloniki, Greece, Blue Cross Clinic, Euromedica, Thessaloniki, Greece
CONCLUSION
- It appears that bifurcation compared to non-bifurcation treatment with DES is associated with a higher thrombosis rate.
- There is no proven difference between rates of thrombosis after DES vs. BMS treatment of bifurcations.
- The dedicated stents may impact on the rates of stent thrombosis but we have no evidence yet.
FUTURE IMPLICATIONS
- Up to now there is no clear demonstration that the one stent techniques are better than the two.
- (..when you cannot do provisional T stenting…) the battle of the techniques continues. Finding the technique with the less thrombogenic and more antirestenotic effect has to be studied in adequately powered and well designed studies.