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The European Bifurcation Coronary study: a randomised comparison of provisional T-stenting versus a systema.c TWO stent strategy in large calibre true bifurcations
European Bifurcation Club 2015 – EBC 2015 – Athens, Greece
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The European Bifurcation Coronary study: a randomised comparison of provisional T-stenting versus a systema.c TWO stent strategy in large calibre true bifurcations
Author: David Hildick-Smith,
BACKGROUND & OBJECTIVE
- Randomised trials of “all-comer” bifurcation lesions show that there is no advantage to systematic dual stent strategies.
- However, these trials included a proportion of patients with no disease in the side branch, or relatively small side branch vessels.
- Expert consensus suggests that “large” bifurcations with significant length os.al side branch disease may merit a systematic two-stent treatment strategy.
CONCLUSION
- Excellent protocol adherence
- Procedural success good in both groups
- Acute Results
- 12-month Results
- No significant difference between provisional and culotte techniques even in this highly complex bifurcation population
- Numerical trends are in keeping with expectations
- More target vessel revascularisation in the simpler procedure
- More periprocedural MI and stent thrombosis in the more complex procedure