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Two stents required for large SB with diffuse disease – Pro

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

 

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