EBC - ON DEMAND
Nordic 3 update
European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary
Kissing in simple strategy?
Nordic 3 update: Randomized Comparison of Final KissingBalloon Dilatation vs. no Final Kissing BalloonDilatation in Patients with Coronary BifurcationLesions Treated With Main Vessel stenting
Author: Matti Niemela, MD, Oulu University Hospital Division of Cardiology, Finland
BACKGROUND
- The provisional SB stenting strategy has emerged the preferred bifurcation treatment strategy
- Whether routine Final Kissing BalloonDilatation (FKBD) after MV stenting improves clinical and angiographic outcome is less well known
PURPOSE
- In a randomized multicenter setting in coronary bifurcations treated with MV stenting using SES to compare
- To assess the effect of these strategies to patient outcomes and angiographic results
CONCLUSION
- In coronary bifurcation lesions MV stenting with and without FKBD was associated with similar 6 month clinical outcome
- The simple no-FKBD strategy was associated to shorter procedure and fluoroscopy time and reduced use of contrast media
- FKBD reduced angiographic SB (re)stenosis especially in patients with true bifurcation lesion, which was not, however, translated into the clinical outcome