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Negative remodeling at SB ostium location


European Bifurcation Club 2015 – EBC 2015 – Athens, Greece

Case session: tips and tricks, complication

Negative remodeling at SB ostium location

Author: Ricardo A. Costa, Instituto Dante Pazzanese de Cardiologia, São Paulo, Brazil



  • Significant negative remodeling is a frequent encounter in complex coronary bifurcation lesions presenting with extensive and severe disease
  • Negative remodeling plays a substantial role on lumen reduction in SB with complex morphology
  • Importantly, the degree of SB compromise based on the angiographic ‘‘luminogram’’ is still a key determinant factor for bifurcation PCI decision-making; thus, our observations call the attention for further investigation with imaging and/ or physiological methods to better assess the real amount of plaque and the physiological impact of SB stenosis before approaching bifurcation PCI with more complex techniques


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