Trend of Bifurcation PCI from COBIS I to COBIS III

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain NEWS 2 Trend of Bifurcation PCI from COBIS I to COBIS III Author: Joon Hyung Doh, MD, PhD, Inje University Ilsan Paik Hospital, Goyang, Korea  & Ki Hong Choi, MD, Samsung Medical Center, Seoul, Korea CONTEXT Trend of Bifurcation PCI in Korea using COBIS I, COBIS II, and COBIS III Registries Comparison of Inclusion Criteria and Baseline Characteristics Changes of Treatment Strategies Comparison of Follow-up Clinical Outcomes SUMMARY From COBIS I to COBIS III, left main bifurcation PCI is increasing. 1-stent strategy is still the most preferred technique (81.5% in COBIS III), even in LM bifurcation PCI. Among various 2-stenting techniques, the ‘crush technique’ is the most commonly used in Korea. The use of IVUS and trans-radial intervention are also on the rise in patients under went PCI with bifurcation lesion. Although proportion of FKB was reduced in COBIS III (compared with COBIS II), th e concept of POT have been newly developed and widely used. From COBIS I to COBIS III, the incidence of MACE (cardiac death, MI, and TLR) tren d toward to decrease in real world bifurcation PCI.

Imaging-guided rewiring in bifurcation : 2D and 3D OCT

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain CORONARY BIFURCATION IMAGING Imaging-guided rewiring in bifurcation : 2D and 3D OCT Author: Ryoji Nagoshi, MD, Osaka Saiseikai Nakatsu Hospital, Japan OBJECTIVE The aim of the study is to assess the impact of 3D-OCT on the procedures for bifurcation stenting including the guide wire (GW) distal rewiring rates. SUMMARY The rate of the distal GW rewiring can be higher by referring to the 3D image than only with the 2D image. The stent link loca0on over Sb orifice is important. The optimal GW rewiring position may depend on the stent link location over carina. In the LC type, it is better to consider the difference of the GW rewiring position in not only the longitudinal but also the short axis directions. CONCLUSION Three-dimensional OCT is useful for the attainment of the GW distal rewiring and provides the important information of the stent link location which cannot be revealed by the other intravascular imaging modalities.

Bench study of strut deformation and polymer damages

European Bifurcation Club 2010, EBC 2010 - Budapest, Hungary New DES and bifurcation stenting Bench study of strut deformation and polymer damages Author: Patrice Guérin, MD,  PhD, L’Institut du Thorax, Nantes University Hospital, France

Consensus

European Bifurcation Club 2006 - EBC 2006 - Rome, Italy Consensus, non-consensus, need for future studies Consensus Author: Dr Victor Legrand