Predictors of Side Branch Compromise in OCT Observations

European Bifurcation Club 2017 – EBC 2017 – Porto, Portugal

Predictors of Side Branch Compromise in OCT Observations

Author: Shiro Uemura, MD, PhD, Cardiovascular Medicine Kawasaki Medical School, Japan

TAKE HOME MESSAGES

1. Evaluation of bifurcation lesions with longitudinal OCT enables usto predict SB compromise.
2. Narrower BA (CT angle) and shorter BP-CT length were the independent predictors for SB ostial compromise after cross-over single stenting.
3. 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.
4. Wider BA was accompanied with enhanced tissue growth in overhanging struts, which might lead to flow disturbance in SB during long-term follow-up.

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