Efficiency of Drug Coated Balloon after Directional Coronary Artherectomy for Coronary Bifurcation Lesions

Efficiency of Drug Coated Balloon after Directional Coronary Artherectomy for Coronary Bifurcation Lesions

European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

LM SESSION

Efficiency of Drug Coated Balloon after Directional Coronary Artherectomy for Coronary Bifurcation Lesions – DCA/DCB Registry –As an Option of Stent-less PCI Strategy for Bifurcation Lesions-

Author: Shunsuke Kitani, MD, Tokeidai Memorial Hospital, Japan

 

BACKGROUND

  • The optimal strategy for bifurcation lesions still remains controversial even in DES era.
  • DCA-alone had high restenosis rate (20-50%) and TLR rate (15-37%) due to excessive intimal hyperplasia after DCA.
  • Combined DCA and DES for bifurcation lesions reduced restenosis rates (Maiin V 1.1%, SB 3.4%).

OBJECTIVES

  • To evaluate the efficacy and safety of DCA/DCB forbifurcation lesions.

CONCLUSION

  • DCA/DCB for bifurcation lesions provided good clinical outcomes, minimizing side branch damage.
  • DCA/DCB can be one of the good options as stent-less PCI strategy for bifurcation lesions, especially LMT.

 

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