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Distal LM, a different bifurcation lesion? – Do we need a dedicated device ?

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European Bifurcation Club 2006 – EBC 2006 – Rome, Italy

Distal left main a different bifurcation lesion?

Do we need a dedicated device ?

Author: Dariusz Dudek, MD, Institute of Cardiology, Jagiellonian University, Krakow, Poland

 

LEFT MAIN CORONARY ARTERY STENTING

  • Dedicated devices – promising concepts but no largeclinical data, challenging technical aspects
    • different size of LM vs LAD vs CX
    • different length of LM body (difficult optimal stent positioningin the LM ostium !!!)
    • long stents/conic needed for long lesion LM/LAD (stenting LL)
    • DES devices –need for new drugs and polymers to avoid the risk of stent thrombosis (SAT & LST)

TODAY   –>    DEVICES for VERY SELECTED LM CASES

 

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