EBC - ON DEMAND
Use of DES and DCB in LM Bifuration Lesion
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
TIPS AND TRICKS IN BIFURCATION PCI – THE SYNERGY BETWEEN EBC AND ASIA
Use of DES and DCB in LM Bifuration Lesion
Author: Zhanying Han, MD, First Affiliated Hospital of Zhengzhou University, China
BACKGROUND
- Although several stenting techniques are available for the treatment of de novo coronary bifurcation lesions.
- The treatment of coronary artery bifurcation still represents a challenge for interventional cardiologist.
- over the past years, different studies have proposed and analysed the use of drug-coated balloon (DCB) in the treatment of coronary artery bifurcation lesions as an alternative treatment.
CLINICAL CHARACTERISTICS
- Zhang Q Female 76years
- Paroxysmal chest tightness for 10 years
- Agravated for 20 days
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Risk factor: Diabetes 1 year, Angiitis 30 years
TAKE HOME MESSAGES
- For calcified LM bifurcation lesion, intravascular imaging is strongly recommended to help to determine the PCI strategy.
- Rotablation is effective to modify the calcified plaque in both MV and SB bifurcation lesion
- DCB may supply an alternative treatment for bifurcation lesions, thus maybe decrease the stent numbers , thrombosis and restenosis risk of side branch.