Read more about the article One Stent Bifurcation Techniques and Possible Bail Out Solutions Using Multimodality Imaging

One Stent Bifurcation Techniques and Possible Bail Out Solutions Using Multimodality Imaging

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain MEDTRONIC SYMPOSIUM One Stent Bifurcation Techniques and Possible Bail Out Solutions Using Multimodality Imaging Author: Goran Stankovic, MD, Clinical Center of Serbia, Serbia BIFURCATION EDUCATION IS NEEDED Collaboration between EBC, Visible Heart Lab (VHL) and Medtronic initiated by EBC at 2012 meeting; There is a need to create: Educational program for fellows and young IC’s, aimed to help understanding bifurcation treatment techniques, complications and outcomes; The idea: A series of case scenarios, where trainee can learn step-by-step performance of different bifurcation stenting techniques and based on a combination of imaging technologies and computer simulation. OBJECTIVES Optimization of provisional one-stent bifurcation PCI technique and possible bail out solutions using multimodality imaging, including Visible Heart lab and OCT.

Read more about the article Culotte Technique with Endoscopic Visible Heart Imaging and OCT

Culotte Technique with Endoscopic Visible Heart Imaging and OCT

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain MEDTRONIC SYMPOSIUM  - One stent bifurcation techniques and possible bail out solutions using multimodality imaging. Culotte Technique with Endoscopic Visible Heart Imaging and OCT Author: Jens Flensted Lassen, MD, PhD, Odense University Hospital, Denmark SUMMARY OF THE PROCEDURE 1. Implant the first stent. Provisional stenting is a philosophy starting with one stent The procedure develops stepwise. You can stop at any step keeping the procedure as simple as possible (But not too simple) Kiss is for positioning of the carina Pot is for correcting the proximal Part of the stent To ”deep” POT may crush the carina area, but is needed to correct the stent distortion KISS with short balloons makes room for a more proximal POT-Balloon placement. 2. Consider the need for a second stent T, TAP, and Culotte are all just techniques with a second stent and defined only by how deep the stent is placed, according to the side branch ostium. CONCLUSION The stepwise progression of the the provisional strategy makes it possible to stop at any stage when the result is satisfying.

Read more about the article One Stent Bifurcation Techniques and Possible Bail Out Solutions Using Multimodality Imaging – Introduction

One Stent Bifurcation Techniques and Possible Bail Out Solutions Using Multimodality Imaging – Introduction

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain MEDTRONIC SYMPOSIUM  - One stent bifurcation techniques and possible bail out solutions using multimodality imaging Introduction Author: Goran Stankovic, MD, Clinical Center of Serbia, Serbia BIFURCATION EDUCATION IS NEEDED Collaboration between EBC, Visible Heart Lab (VHL) and Medtronic initiated by EBC at 2012 meeting; There is a need to create: – Educational program for fellows and young IC’s, aimed to help understanding bifurcation treatment techniques, complications and outcomes; The idea: – A series of case scenarios, where trainee can learn step-by-step performance of different bifurcation stenting techniques and based on a combination of imaging technologies and computer simulation.

Read more about the article Computational Stenting and Flow Simulations

Computational Stenting and Flow Simulations

European Bifurcation Club 2019, EBC 2019 - Barcelona, Spain MEDTRONIC SYMPOSIUM Computational Stenting and Flow Simulations Author: Yiannis S Chatzizisis, MD, PhD, University of Nebraska Medical Center, USA TAKE HOME MESSAGES Mixed reality is a combination of bench, ex-vivo and computational simulations Computational stent simulation is an accurate and feasible approach to study stent techniques and stent designs Always consider provisional bifurcation stenting “philosophy” with bail out conversion to TAP (or T)