EBC - ON DEMAND
Better clinical outcome with final kissing
European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany
Simple or very simple technique for most bifurcation lesion?
Better clinical outcome with final kissing
Author: Francesco Burzotta, MD, Catholic University of the Sacred Heart, Rome, Italy
AIM OF STUDY
TO ASSESS IF RESIDUAL SIDE-BRANCH STENOSIS EVALUATED BY 3DQCA MAY BE ASSOCIATED TO POST-PCI INDUCIBLE ISCHEMIA
BACKGROUND
- Standard 2D angiography is not adequate to assess side-branch ostial lesions (especially after main vessel stenting) but 3DQCA may be more accurate
- The clinical significance (correlation with inducible ischemia) of residual side branch stenosis is not well established
- Stresst est is frequently adopted to follow patients treated by PCI but no data are available about its results in patients treated on bifurcated lesions
CONCLUSION
IN PATIENTS UNDERGOING A PROVISIONAL APPROACH…
- 3DQCA DETECTS >50% SIDE-BRANCH AREA STENOSIS IN 18% OF THE PATIENTS
- A ≥50% 3DQCA AREA STENOSIS IS STRONGLY ASSOCIATED WITH POST-PCI RESIDUAL INDUCIBLE ISCHEMIA (pre-defined primary study end-point)
- FINAL KISSING BALLOON INFLATION IS ASSOCIATED WITH ABSENCE OF POST-PCI RESIDUAL INDUCIBLE ISCHEMIA