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Further Optimization of Kissing Balloon Inflation: Insight from computer simulations

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European Bifurcation Club 2014 – EBC 2014 – Bordeaux, France

Bifurcation stenting: learning from bench and simulation

Further Optimization of Kissing Balloon Inflation: Insight from computer simulations

AuthorPeter Mortier, MD, FEops / Ghent University, Belgium

 

CONCLUSION

  • Side branch access:
    • A good kissing inflation does not guarantee optimal side branch access – A large variability was observed with each stent design
    • Inflating the side branch balloon first optimizes side branch access
  • Stent strut apposition:
    • Malapposed struts are always present near the side branch ostium
    • Reducing the pressure in the SB balloon does not increase the amount of malapposed stent struts
  • The elliptical deformation in the proximal segment can be reduced by reducing the pressure in the side branch balloon prior to inflating the main branch balloon.

 

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