EBC - ON DEMAND
European Bifurcation Club 2015 – EBC 2015 – Athens, Greece
BRS in bifurcations (1)
(re)-Proximal Opimizing Technique in coronary bifurcation stenting with everolimus-Eluting Bioresorbable Vascular Scaffold Fractal Coronary Bifurcation Bench for comparative test between ABSORBTM and XIENCE XpeditionTM
Author: Gérard Finet MD PhD, Hospices Civils de Lyon, France
CONCLUSION
- All these data show that a procedure using POT provides significantly beoer mechanical results than KBI, even when modified:
- with a complete optimal correction
- maintaining circular geometry
- without arterial overstretch
- with a strut free SBO
- and minimize strut malapposition RePOT is easier to perform and is 5F-compatible.
- Six contemporary DES after rePOT showed significantly better results than those obtained after FKBI alone but the impact of stent platform do not seem to be trivial.
- Our preliminary clinical results are very encouraging and replicate in vivo the results obtained on bench tests.
- The technique can be effec0vely associated to David Hildick-Smith’s “super simple” provisional stenting strategy