EBC - ON DEMAND
Cross and Perfect Bifurcation Studies
European Bifurcation Club 2014, EBC 2014 – Bordeaux, France
NEWS 2 SESSION
Cross and Perfect Bifurcation Studies
Author: Young-Hak Kim, MD, PhD, Heart Institute, University of Ulsan College of Medicine Asan Medical Center, Seoul, Korea
LESSONS FROM CROSS FOR NORMAL SB
- Predilation is not routinely necessary.
- For SB, routine FKB can achieve greater lumen again but may not be translated into better long-term angiographic outcomes.
- For MB, due to mechanical trauma or stent distorti on, routine FKB may lead to more frequent resten osis.
- Selective FKB is not inferior to routine FKB in ter ms of angiographic and clinical outcomes.
- Planned 1-stent technique is safe and effective compared with planned crush technique.
- Provisional 2-stent technique is still be required for selective true bifurcations.
- Final FKB is necessary after 2-stent technique.
- IVUS-guided 1- or 2-stent techniques using new generation DES can lead to excellent long-ter m angiographic and clinical outcomes.
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