EBC - ON DEMAND
European Bifurcation Club 2015 – EBC 2015 – Athens, Greece
Towards a worldwide consensus on bifurcation stenting
Two stents required for large SB with diffuse disease – Pro
Author: Alaide Chieffo, MD, San Raffaele Hospital Milan, Italy
HYPOTHESIS
“Large true coronary bifurcation lesions (side branch ≥2.5mm) with significant ostial side branch disease (≥5mm length), are best treated with culotte stenting rather than a provisional T technique, with respect to target vessel revascularisation, myocardial infarction and death at 12 months.”
CONCLUSION
- No difference in clinical outcomes with provisional vs 2 stent technique in coronary bifurcation lesions (side branch ≥2.5mm) with significant ostial side branch disease (≥5mm length)
- RCT did not investigate indeed in coronary bifurcation lesions (side branch ≥2.5mm) with significant diffuse ostial side branch disease more than 5mm length