EBC - ON DEMAND
European Bifurcation Club 2018 – EBC 2018 – Brussels, Belgium
CTO and Bifurcation
Bifurcation lesions involved in the recanalization process of coronary CTO: Incidence, treatment & clinical implications
Author: Manuel Pan. Reina Sofia Hospital. University of Cordoba
OBJECTIVES
- To analyse the incidence of bifurcation lesions during CTO PCI.
- To assess treatment strategy for bifurcations in this scenario.
- To identify predictors of bifurcation technical success.
- To study the impact of this association on immediate and mid-term outcomes.
CONCLUSION
- Bifurcation lesions in CTO is a frequent finding and could be approached as regular bifurcations.
- The primary success was lower than that obtained in non-CTO bifurcation lesions and this was associated with a higher incidence of periprocedural MI.
- However, the rate of MACE at follow-up was acceptable and similar to that observed in CTO without bifurcations involved.
- Baseline SB wiring was a powerful predictor of technical