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French Taxus Pilot study at 5 years

EBC - ON DEMAND

European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary

Left Main session: focusing on techniques and late outcome

French Taxus Pilot study at 5 years

Author: Thierry Lefevre, MD, ICPS, France

 

DESIGN OF THE STUDY

  • Unprotected LM
  • May 2003-June 2005
  • « All comers » (Only AMI and Shock excluded)
  • Feasibility and Safety Study
  • Taxus Express stent
  • 4 experienced French centers
  • Informed consent
  • Provisional side branch T stenting for Bifurcations
  • Aspirin ≥75 mg/d indefinitely
  • Clopidogrel 75 mg/d for at least 6 months
  • Angiographic F-up recommended at 6 months

CONCLUSION

Unprotected LM PCI using PES with a strategy of Provisional SB stenting provides good long term outcome in real world patients. Annual cardiac mortality is 1.7% and all-cause mortality 4.4% after 2 years.

T shape angulation, use of two stents, stent type and finally lesions complexity in patients with multivessel disease, may play an important role in the outcome.

 

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