EBC - ON DEMAND
European Bifurcation Club 2006 – EBC 2006 – Rome, Italy
Very simple, simple or complex approach ? Part II
Still a place for complex strategies in complex lesions? No
Author: Terje K. Steigen, MD, University Hospital of Northern Norway, Tromsoe, Norway
THE NORDIC BIFURCATION STUDY
- The purpose of the ”Nordic PCI study group” is to conduct academic randomized clinical trials and to optimize treatment in the Nordic and Baltic countries
- The first bifurcation study randomized 413 pts. to stenting of main vessel only or stenting of both main vessel and side branch
- The primary endpoint was MACE, cardiac death, MI, TVR or stent thrombosis after 6 months
CONCLUSION
The available data support the simple strategy with stenting of main branch and provisional stenting of the side branch in most situations.
The data, however, does not contradict the use of a complex stenting strategy in special situations, e.g. very large side branches