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How to select an optimal technique for bifurcation stenting?

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How to select an optimal technique for bifurcation stenting?

European Bifurcation Club 2011 – EBC 2011 – Lisbon, Portugal

Balton sponsored symposium

How to select an optimal technique for bifurcation stenting?

Author: Robert J. Gil MD, PhD, Hospital of the Internal Affairs and Administration Ministry, Warsaw, Poland

 

BIFURCATION STENT PROBLEMS

  • Real clinical problem: occurrence 15-20%
  • Huge variation in anatomy – vessel sizes differences, between vessels angulations, plaques distribution
  • Conventional stent is not intended for bifurcations – stent deformation, drug coverage disruption
  • High restenosis rates
  • Higher rates of stent thrombosis

IDEAL BIFURCATION STENT

  1. Stent which restore anatomical MV – MB sizes without need of additional dilatation
  2. Stent which keeps good access to SB allowing for second stent implantation
  3. Drug eluting stent with biodegradable carrier
  4. Stent easy for handling with very high procedural success

 

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