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When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in Front of the SB. No

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When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in Front of the SB. No

European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

CONSENSUS SESSION – VOTING

When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in front of the SB – NO!

Author: Imad Sheiban, MD, PhD, Pederzoli Hospital -Pechiera D/G (Verona), Italy

Why KBI ?

  • To keep SB open and avoid peri-procedural SB occlusion ( MI )
  • Optimise stent expansion at the carina
  • Cover SB ostium with the stent
  • Correct stent deformation caused by SB opening
  • Keep access for future interventions

Final Remarks

  • In single stenting avoid unnecessary KBI ; kissing balloon inflation or pressure wire interrogation, should be used when an angiographically significant (>70%) side branch lesion remains ader main branch stenting
  • Proximal Optimization Technique (POT) – if no symptoms , no T-ST modifications and TIMI III flow in SB – should not be followed by KBI or any intervention on
  • When required KBI should be performed optimally and followed by final POT to insure optimal expansion and stent apposition

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