LM Bifurcation Distal PCI – If You Use Crush Technique It Should Be DK Crush

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain CONSENSUS SESSION - VOTING LM Bifurcation Distal PCI - If You Use Crush Technique It Should Be DK Crush Author: Imad Sheiban, MD, PhD, Pederzoli Hospital -Pechiera D/G (Verona), Italy Left main Bifurcation : It is different , not MV- SB but 2 MVs .. Optimal treatment should be provided for both branches TAKE HOME MESSAGES: For complex LM BLs, 2-stent technique especially DK crush is associated with Excellent clinical outcome Serial Randomized Clinical Trials were able to demonstrate that in complex bifurcations , DK Crush is associated with better clinical outcome as compared to other techniques and should be be considered a the gold standard when crush technique is used

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

Cypher series in Torino

European Bifurcation Club 2011, EBC 2011 - Lisbon, Portugal HOT NEWS SESSION Cypher series in Torino Author: Imad Sheiban, MD, University of Torino, Italy

10-year Outcome of LM Stenting & Management of Restenosis

European Bifurcation Club 2015 - EBC 2015 - Athens, Greece Left main stenting 10-year Outcome of LM Stenting & Management of Restenosis Author: I Sheiban, Director Interventional Cardiology, Pederzoli Hospital, Peshiera del Garda ( Verona ) / Italy