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“KBT or not KBT”, that is the Question

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European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

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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.

 

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