Read more about the article Balloons and stent sizing for bifurcation PCI Role of Intra-coronary Imaging

Balloons and stent sizing for bifurcation PCI Role of Intra-coronary Imaging

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain CORONARY BIFURCATION IMAGING Balloons and stent sizing for bifurcation PCI Role of Intra-coronary Imaging Author: Yoshinobu Murasato, MD, PhD, Kyushu Medical Center, Japan TAKE HOME MESSAGES Device sizing (general): EEL-based reference diameter measurement is firstly recommended. In case of invisible EEL, lumen-based measurement is also available. For the optimal stent landing zone, it is important to avoid dissection, > 50% plaque burden, and lipid pool. Device sizing: bifurcation lesion POT and KBI balloon should be selected according to vascular branching law. In the bifurcation lesion, Finet’s law is applicable for imaging-guide reference diameter measurement, not for angio-based one. Stent should be selected considering maximal expansion capacity. Minimum expansion index considering vascular branching and tapering is more physiological to select post-dilation site and appropriate balloon.

Read more about the article Importance of Routine Use of OCT in Bifurcation

Importance of Routine Use of OCT in Bifurcation

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France LIVE BIFURCATION STENTING GUIDANCE: OCT, IVUS, FFR & ANGIO Importance of Routine Use of OCT in Bifurcation Author: Yoshinobu Murasato, MD, PhD, Kyushu Medical Center, Fukuoka, Japan TIPS & TRICKS IN ROUTINE USE OF OCT Decrease contrast medium Flow reduction: 5-10ml at 2-3ml/sec Low-molecular dextran GC engage: relatively deep Avoid the patients unsuitable for the OCT examination Ostial lesion in the LMCA and RCA Diffuse diseased vessel CKD stage 3b, 4 CONCLUSION Routine use of OCT can provide useful information in vessel condition before and after treatment, which changes the strategy in 50% of the cases. It can correct stent malapposition and underexpansion, which may lead to a decrease in cardiac death/MI. A decrease in contrast medium or use of dextran can afford to more frequent OCT pull-backs for further examination in the complicated lesion. 3-D OCT imaging has a possibility to correct GW recrossing point, which leads to decrease in incomplete stent apposition, however, it still requires innovation of image qualities.

Read more about the article Optimal Provisional Coronary Bifurcation Stenting

Optimal Provisional Coronary Bifurcation Stenting

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France ADVANCEMENTS IN BENCH TESTING AND COMPUTER MODELING Optimal provisional coronary bifurcation stenting: Final kissing balloon dilatation or not ? Author: Gerard Finet, MD, PhD, Hospices Civils de Lyon, France OBJECTIVES Quantify the mechanical effects of the POT Quantify the differences between: FKB approach (with its modified protocols) after POT approach with no FKB but consecutive POT with SB balloon inflation (re-POT) CONCLUSION Our preliminary results with 25 fractal bifurcation models with Promus Premier® (Boston) : quantitatively validated the mechanical effects of POT showed by comparison with : FKB alone and POT + FKB with symmetric or asymmetric balloon inflaOon pressure thatwithre-POT with SB dilation provides the best mechanical results and is the simplest technique in 1-stent bifurcation strategy. SBO almost free of strut (4.9%) a very low rate of global strut malapposition (2.6%) an almost perfect morphology of the carena and the wall facing the SB ostium a maintained circular cross-sectional area of the MoV (relative elliptic ratio : 1.0) the almost perfect respect of the linear law of coronary artery bifurcation geometry (0.66) We are completing these preliminary results with 25 other fractal bifurcation bench models with Ul#master® stent (Terumo) A total of 50 experimentations in fractal bifurcation bench models.

Read more about the article BVS in Bifurcation

BVS in Bifurcation

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France CASES: TIPS & TRICKS AND COMPLICATIONS BVS in Bifurcation Author: Sai Satish, MD, DM, Apollo Hospitals, Chennai, India

Read more about the article STEMI involving the bifurcation

STEMI involving the bifurcation

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France CASES: TIPS & TRICKS AND COMPLICATIONS STEMI involving the bifurcation Author: Farhat Fouladvand, MD, Ospedale Sacra Famiglia, Italy

Read more about the article Cross and Perfect Bifurcation Studies

Cross and Perfect Bifurcation Studies

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France NEWS 2 SESSION Cross and Perfect Bifurcation Studies Author: Young-Hak Kim, MD, PhD, Heart Institute, University of Ulsan College of Medicine Asan Medical Center, Seoul, Korea

Read more about the article Systematic treatment of the side branch in a bifurcation lesion

Systematic treatment of the side branch in a bifurcation lesion

European Bifurcation Club 2014, EBC 2014 - Bordeaux, France NEWS 2 SESSION Systematic treatment of the side branch in a bifurcation lesion with a new drug eluting balloon: the DEBSIDE study. Author: Jacques Berland, MD, Clinique Saint Hilaire, Rouen, France