EBC - ON DEMAND
European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany
Complex techniques for complex lesions?
Complex techniques for complex lesions: What are the situations where we need a double stenting ?
Author: Imad Sheiban, Director Interventional Cardiology, University of Torino, San Giovanni Battista Hospital, Torino / Italy
CONCLUSION
- Bifurcations without ostial SB involvement or those with only focal ostial SB narrowing can be successfully treated with single stent in MB and FKB in nearly 70% of cases
- Elective bifurcation stenting as the intention to treat when :
- Diffuse disease on side branch
- Marked SB Tortuosity
- Difficult access to SB
- Risk of abrupt closure following Predilatation
- Hemodynamic instability ( Distal LM patients )
- Functional Evaluating by pressure wire (FFR) can select those who need a second stent at SB.
- Elective stenting in bifurcation, when needed, is safe and effective