EBC - ON DEMAND
European Bifurcation Club 2017 – EBC 2017 – Porto, Portugal
Imaging Session : OCT and New IVUS
Predictors of Side Branch Compromise in OCT Observations
Author: Shiro Uemura, MD, PhD, Cardiovascular Medicine Kawasaki Medical School, Japan
TAKE HOME MESSAGES
- Evaluation of bifurcation lesions with longitudinal OCT enables usto predict SB compromise.
- Narrower BA (CT angle) and shorter BP-CT length were the independent predictors for SB ostial compromise after cross-over single stenting.
- Overhanging strut with link within SB ostium may be risk of late decrease in SB ostial area (>18 months). KBT may be useful for the prevention of late SB complication though removing jailing struts.
- Wider BA was accompanied with enhanced tissue growth in overhanging struts, which might lead to flow disturbance in SB during long-term follow-up.