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Bifurcation lesion: Association between geometric changes after stenting and clinical outcomes

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European Bifurcation Club 2008 – EBC 2008 – Prague, Czech Republic

New Bifurcation Assessment techniques

Bifurcation lesion: Association between geometric changes after stenting and clinical outcomes

Author: Danny Dvir, MD, Rabin Medical Center, Tel Aviv, Israel

 

INTRODUCTION

  • The treatment is technically challenging.
  • There is a continuous debate regarding optimal treatment?
  • The bifurcation is a complex 3-dimensional geometric structure.
  • Bifurcation angle may affect the outcome after stenting.
  • Geometric changes after stenting may affect the clinical outcomes

OBJECTIVE

To evaluate the relationship between bifurcation angle changes after intervention [Two BMS] and clinical outcome.

CONCLUSION

  • With major limitation of small # pts
  • Our preliminary results suggest that major geometric changes* after bifurcation stenting may be associated with increased risk of TVR.
  • It seems that bifurcation stenting techniques that cause less morphological changes should be preferred.
  • Future studies should evaluate this hypothesis in a large group of patients including the use of DES.

 

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