EBC - ON DEMAND
European Bifurcation Club 2014, EBC 2014 – Bordeaux, France
NEWS SESSION
Anatomical, physiological and clinical relevance of a side branch
Author: Bon Kwon Koo, MD, PhD, Seoul National University Hospital, Seoul, Korea
CONCLUSION
- If you want to do PCI for angiographically significant SB
- Acknowledge that the side branch is different from the main branch.
- Assess the clinical relevance (myocardial mass at risk >10% by MPIestimation) of the side branch first.
- If you still want to do
- Remind that there can be discrepancy between anatomical severity and physiological severity. When doubtful, measure FFR (Adequate experience and knowledge is required).
- Consider the possibility that the side branch is naturally protected.
- If you still want to do
- Do it (very) well and be ready to use IVUS or OCT.