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Atheroma on the carena or not ? “No ! carena is not always free of disease! is it important or not

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Atheroma on the carena or not ? “No ! carena is not always free of disease! is it important or not

European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany

Atheroma on the carena or not?

Atheroma on the carena or not ? “No ! carena is not always free of disease! is it important or not

Author: Alfonso Medina, Pedro Martín, Javier, Suárez de Lezo

 

CONCLUSION

  • Plaque at the carina is present in one third of the bifurcation lesions
  • This prevalence seems to be lower in 1,1,0 bifurcation lesions / absent in 1,0,1 & 1,0,0
  • In bifurcation coronary lesions where the MLA is located distal to the carinal point, the prevalence of plaque at the carina seems to be higher (no atheroprotective effect of high wall shear stress?)
  • In simple bifurcation coronary lesions { _,_,0}, the presence of plaque at the carina is not a factor influencing SB damage after stenting the main branch

 

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