EBC - ON DEMAND
French Taxus Pilot study at 5 years
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.