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Polish Bifurcation Optimal Strategy Study (POLBOSS)

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European Bifurcation Club 2012 – EBC 2012 – Castelldefels, Spain

BALTON

Polish Bifurcation Optimal Strategy Study (POLBOSS) – interim analysis on 200 patients

Author: Robert J. Gil, MD, PhD, Central Hospital of the Internal Affaires Ministry, Poland

 

CASE

  • 65-years old female
  • Hypertension and Hyperlipidemia, on the medical therapy
  • DM 2 for 10 years, now undergoing insulin therapy
  • The main complain of chest Tightness and dyspnea for 1 month
  • EKG is normal
  • Echocardiography showed normal wall motion ,EF 50%

CONCLUSION

  • POT is an integrate part of PCI procedure of LM bifurcation lesions
  • However
    • 30% side branch FFR <0.75 after POT
    • Side branch dilation +Re-POT might induce stenosis deterioration, or stent distortion at side branch ostium
  • POT combination with mini-KBI would be an optimalchoice for LM bifurcation lesions

 

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