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Challenge of Struts across SB ostium Can OCT optimize management?

Challenge of Struts across SB ostium Can OCT optimize management?

European Bifurcation Club 2018 – EBC 2018 – Brussels, Belgium

BIFURCATION IMAGING SESSION

Challenge of Struts across SB ostium Can OCT optimize management?

Author: Rony Mathew MD, 

 

My thoughts…on struts across SB ostia

  • Angiography gives no information about stent struts across SB ostia. 3D-OCT helps define this.
  • Stent struts across the SB ostia, will develop neo-intimal proliferation after some time.
  • Hence presence of a strut / connector across SB ostia, may be a predictor of SB restenosis.
  • After Crossover stenting of the LM or LAD, a strut across the SB on OCT should be an indication to kiss, even if the ostia is not compromised on angiography

 

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