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Kissing in simple – Why and how I kiss?

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Kissing in simple – Why and how I kiss?

European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary

Kissing in simple strategy?

Kissing in simple – Why and how I kiss?

AuthorYves 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

 

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