EBC - ON DEMAND
European Bifurcation Club 2008 – EBC 2008 – Prague, Czech Republic
Dedicated devices or techniques
Rationale for the use of a drug eluting balloon in bifurcation lesions: “DEBIUT” trial
Author: Pieter R. Stella, MD, University Medical Centre Utrecht, The Netherlands
CONCLUSION
- Currently Provisional T seems best if no extensively diseased SB ostium
- However, restenosis SB still an issue
- Safety issue in DES with distruction of coating / polymers /uncontrolled drug relaese
- DEB could offer
- better outcome SB results compared to POBA
- reduction in late thrombosis (Absence of polymeric coating might eliminate hypersensitivity reactions or late thrombosis phenomena )
- reduce need for SB stenting
- reduced need for prolonged sual antiplatelet therapy – Equal results DES vs. BMS + DEB in MB