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

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

Read more about the article Difficult SB Access with Size Discrepancy to MB

Difficult SB Access with Size Discrepancy to MB

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain CASES SESSION - TIPS & TRICKS Difficult SB Access with size discrepancy to MB Author: Khaled Al Shaibi, MD, King Fahd Armed Forces Hospital, Saudi Arabia CASE HISTORY 80 year old female Hypertension Unstable angina ECHO:-EF = 50% no significant valve pathology Coronary angiography:- Distal leI main plus three vessel disease (SYNTAX score = 36 ) Turned down by surgeons due to fraility

Read more about the article A patient with distal LM disease and large diameter discrepancy between LAD and LM

A patient with distal LM disease and large diameter discrepancy between LAD and LM

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain BOSTON SYMPOSIUM A patient with distal LM disease and large diameter discrepancy between LAD and LM Author: Jens Flensted Lassen, MD, PhD, Odense University Hospital, Denmark PATIENT HISTORY Male, 60 years, Severe COL, Reduced FEV 1, EF 35 %, Diabetes, Hypertension. Family history of ischemic heart disease. Mid LAD stenosis Ostial LAD stenosis, With plaque in LM FFR: 0.67 (distally LAD) and 0.79 (between LM and proximal LAD.) Heart team decision: PCI

Read more about the article Distal LM: a bifurcation lesion like others – con

Distal LM: a bifurcation lesion like others – con

European Bifurcation Club 2006 - EBC 2006 - Rome, Italy Distal left main a different bifurcation lesion? Distal LM: a bifurcation lesion like others - con Author: Antonio Colombo, MD, San Raffaele Scientific Institute, Milan, Italy