EBC - ON DEMAND
European Bifurcation Club 2015 – EBC 2015 – Athens, Greece
Novel insights from bench and simulation
Stenting on Endothelial Shear Stress
Author: Ghassan S. Kassab, California Medical Innovations Institute, San Diego, CA
CONCLUSION
- The simulations predict a negative hemodynamicrole for SB stenting which is exaggerated with a longer stent, consistent with clinical trial findings that dual stenting is comparable or inferior to provisional stenting.
- Shorter SB stent (only to cover the stenosis) reduces negative effects on the SB by lowering the OSI as compared to provisional stenting, but increases the WSSG.
- Undersized stents exaggerate the negative hemodynamic effects of SB stenting.