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Nordic 3 update


European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary

Kissing in simple strategy?

Nordic 3 update: Randomized Comparison of Final KissingBalloon Dilatation vs. no Final Kissing BalloonDilatation in Patients with Coronary BifurcationLesions Treated With Main Vessel stenting

Author: Matti Niemela, MD, Oulu University Hospital Division of Cardiology, Finland



  • The provisional SB stenting strategy has emerged the preferred bifurcation treatment strategy
  • Whether routine Final Kissing BalloonDilatation (FKBD) after MV stenting improves clinical and angiographic outcome is less well known


  • In a randomized multicenter setting in coronary bifurcations treated with MV stenting using SES to compare
  • To assess the effect of these strategies to patient outcomes and angiographic results


  • In coronary bifurcation lesions MV stenting with and without FKBD was associated with similar 6 month clinical outcome
  • The simple no-FKBD strategy was associated to shorter procedure and fluoroscopy time and reduced use of contrast media
  • FKBD reduced angiographic SB (re)stenosis especially in patients with true bifurcation lesion, which was not, however, translated into the clinical outcome


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