EBC - ON DEMAND
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
Author: Peter 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.