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.
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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