EBC - ON DEMAND
European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary
Kissing in simple strategy?
Kissing in simple – Why and how I kiss?
Author: Yves Louvard, MD, ICPS, Massy, France
KISSING IS PART OF A STRATEGY
- One layer of DES when and where it is useful
- no overlap, no protrusion
- good expansion
- SB only in case of poor result after balloon
- Try to restore the original anatomy and function of the bifurcation
WHY KISSING AFTER SIMPLE STRATEGY
- To correct a poor result in SB (but QCA / FFR discrepancy):
- TIMI flow < 3, EKG, Pain …
- carena / plaque shift
- previous stenosis
- to prepare a SB stenting
- When SB angiographic result / flow are good ?: to remove the jail strut (possible SB stenting: > 2 mm)
- Always (?): to relocate the flow divider