“KBT or not KBT”, that is the Question
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
After Single Crossover stenting; “KBT or not KBT”, that is the question. Routine KBT is always necessary?
Author: Satoru Mitomo, MD, New Tokyo Hospital, Japan
WHAT THE DATA TELLS
- If we can take single-stent strategy, the outcomes would be much better than those in 2-stent strategy.
- LCx ostium itself might be independently associated with high restenosis rates.
- The fact may be partially explained by unique anatomical feature; “hinge motion”, twitching and bending.
- LMT PCI results could be hampered with high restenosis rates in LCx ostium; however the incidence may not be directly associated with fatal prognosis.