EBC - ON DEMAND
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.