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Why I try to avoid side branch dilatation

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Why I try to avoid side branch dilatation

European Bifurcation Club 2010 – EBC 2010 – Budapest, Hungary

Kissing in simple strategy?

Why I try to avoid side branch dilatation

Author: Hyeon-Cheol Gwon, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

 

SUMMARY

  • SB ballooning may deform the stent struts, which is not always corrected by kissing ballooning.
  • SB narrowing after MV stenting is frequently insignificant, either physiologically and clinically.
  • SB patency is well maintained  at long-term follow-up
  • Finally, clinical studies showed no benefit of SB ballooning with or without kissing ballooning.

CONCLUSION

  • Side branch is not so important than we thought. The threshold for significant SB should be higher.
  • The treatment should be focused on MV, trying to avoid SB ballooning, as far as SB is not occluded.

 

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