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Bifurcation Stenting Is a Risk Factor for Stent Thrombosis

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Bifurcation Stenting Is a Risk Factor for Stent Thrombosis

European Bifurcation Club 2006 – EBC 2006 – Rome, Italy

Very simple, simple or complex approach ? Part II

Bifurcation Stenting Is a Risk Factor for Stent Thrombosis

Author: Ioannis Iakovou, MD, General Army Hospital of Thessaloniki, Greece, Blue Cross Clinic, Euromedica, Thessaloniki, Greece

 

CONCLUSION

  • It appears that bifurcation compared to non-bifurcation treatment with DES is associated with a higher thrombosis rate.
  • There is no proven difference between rates of thrombosis after DES vs. BMS treatment of bifurcations.
  • The dedicated stents may impact on the rates of stent thrombosis but we have no evidence yet.

FUTURE IMPLICATIONS

  • Up to now there is no clear demonstration that the one stent techniques are better than the two.
  • (..when you cannot do provisional T stenting…) the battle of the techniques continues. Finding the technique with the less thrombogenic and more antirestenotic effect has to be studied in adequately powered and well designed studies.

 

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