EBC - ON DEMAND
European Bifurcation Club 2014, EBC 2014 – Bordeaux, France
LIVE BIFURCATION STENTING GUIDANCE: OCT, IVUS, FFR & ANGIO
Why I prefer IVUS in bifurcation guidance
Author: Masahiro Yamawaki, MD, PhD, Saiseikai Yokohama City Eastern Hospital, Japan
SUMMARY
- The mechanism of luminal widening by FKI was stretching vessel wall.
- FKI corrected carina/plaque-shift in about 30%. Plaque shift dominantly occurred(50%)
- The vessel anatomy assessed by IVUS before intervention /FKI was predictable for plaque/ carina shift, and associated with residual SB ostium stenosis despite FKI.
CONCLUSION
Why I prefer IVUS in bifurcation guidance”
Because we can check optimal result after stenting by IVUS.
In addition, IVUS before- and during PCI helps us to ….
- know precise anatomy, and predict SB compromise as well as luminal widening after FKI.
- make decision of final strategy of bifurcation-PCI
- make our procedure logical and predictable !