EBC - ON DEMAND
Insight from Nordic III
European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany
Simple or very simple technique for most bifurcation lesion?
Insight from Nordic III
Author: Jens Flensted Lassen, MD, PhD, Department of Cardiology, Skejby Hospital, University of Aarhus, Denmark
BACKGROUND
- In coronary bifurcation lesions, stenting of the main vessel and optional stenting of the side branch is the preferred bifurcation stenting strategy
- In the simple one-stent technique, the indication for mandatory kissing balloon post dilatation is unsettled
PURPOSE
In a randomized clinical trial, to compare outcome of two different side-branch strategies in coronary bifurcation lesions treated with main vessel stenting using sirolimus eluting stents
- No kissing balloon postdilatation
- Kissing balloon postdilatation
CONCLUSION
- In coronary bifurcation lesions, a strategy of routine kissing balloon dilatation of side branch through the MV stent did not improve the 6-month clinical outcome as compared to a strategy of no kissing balloon dilatation
- In the kissing balloon dilatation group, the procedure and fluoroscopy time and the use of contrast were significantly increased