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Role of lesion preparation in the treatment of bifurcation lesions treatment of bifurcation lesions – Case Review Session

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Role of lesion preparation in the treatment of bifurcation lesions treatment of bifurcation lesions – Case Review Session

European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany

Case review session

Role of lesion preparation in the treatment of bifurcation lesions treatment of bifurcation lesions – Case Review Session

Author: Andrejs Erglis, Latvian Centre of Cardiology Pauls Stradins Clinical University Hospital

 

HYPOTHESIS

  • Plaque modification before stent deployment may minimize arterial injury and subsequent neointimal proliferation /restenosis:
    • Itminimizes plaque shifting between main branch and side branch and thus helps avoiding side branch stenting
    • It gives perfect stent apposition with reduced inflation pressure even if very long stents are deployed
    • With bioabsorbable stents it will be an essential tool to perform complete “vessel repair procedures”

PATIENT CHARACTERISTICS

  • 76 years old female admitted with stable angina CCS III on good medical therapy
  • Factors of cardiovascular risk: dyslipidemia, arterial hypertension
  • Previous history: Myocardial infarction (2007), Peripheral artery disease and lumbar sympathectomy (2008)

CONCLUSION

Good final result, well aposed stent confirmed by IVUS. No side branch flow limitation because of plaque shift which was prevented by lesion pretreatment with CB

 

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