One vs two stent technique in the Noble trial
European Bifurcation Club 2017 – EBC 2017 – Porto, Portugal
SESSION 8: Left Main Bifurcation
One vs two stent technique in the Noble trial
Author: Evald Høj Christiansen, Aarhus University Hospital – Aarhus DK
DESIGN
A prospective, randomized, open-label, non-inferiority trial, carried out at 36 hospitals in Latvia, Estonia, Lithuania, Germany, Norway, Sweden, Finland, United Kingdom, and Denmark
Enrollment: December 2008 to January 2015
CONCLUSION
- Similar MACCE rates in LM bifurcations vs non bifurcations
- Similar MACCE rates in one vs. two stent techniques in LM bifurcations
- Confirms the relative low importance of stratifying patients with anatomical SYNTAX score
- LM PCI calls for lesion coverage/complete revascularization rather sticking to a one stent technique
- Using two stent techniques requires kissing balloon inflations as opposed to a neutral effect in single stent strategies