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Why Not Using a provisional SB approach even When SB Stenting is Planned ?

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Why Not Using a provisional SB approach even When SB Stenting is Planned ?

European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany

Complex techniques for complex lesions?

Why Not Using a provisional SB approach even When SB Stenting is Planned ?

Author: Thierry Lefèvre, MD, ICPS, France

 

CONCLUSION

  • A two stent approach is probably needed in < 15% of cases.
  • In those cases the main reason for stenting the SB first is to decrease the risk of SB failure.
  • By doing that we increase the complexity of the procedure and may compromise the result in the MB.
  • Why not stenting the MB first following the rules of provisional SB stenting approach ?
  • It may simplify the procedure, improve the MB result and decrease the need for SB stenting in relativaly short SB lesions (< 5 mm).
  • This approach will be evaluated in the EBC 1 randomized study.

 

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