EBC - ON DEMAND
Consensus or not
European Bifurcation Club 2008 – EBC 2008 – Prague, Czech Republic
LM stenting or surgery ?
Consensus or not
Author: Goran Stankovic, MD, Belgrade, Serbia
CONSENSUS
- In provisional SB stenting cross through the distal strut (“Carina cell”)
- In crush stenting proximal wire cross creates better SB scaffolding than distal crossing
- “Carina shift” not “plaque shift”
- No need for routine SB predilatation unless lesion in the SB long and/or severely calcified
- Final kissing balloon inflation necessary in complex stenting and may also improve angiographic and clinical outcome in provisional stenting;
we need data from randomized trial (Nordic-KISS)
CONCLUSION
NO Consensus
At the moment two registries:
- ‘INVERTED’ PROVISIONAL T
- Ostium Stenting / Dogbone Technique