One Stent Only

One Stent Only

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European Bifurcation Club 2005, EBC 2005 – Bordeaux, France

DEBATE – STATE OF THE ART: DES

One Stent Only

Author: Manuel Pan, MD, Hospital Reina Sofia, Spain

 

WHY ONE STENT ONLY

  • Comparative studies did not demonstrate  a superiority of two stents over one stent and balloon dilation of the side branch.
  • In terms of TLR there was a tendency in favour of patients treated by one stent.

CONCLUSION

  • 1997 First comparison one vs two stentsin bifurcation lesions:
    • …Radical stent reconstruction seems to provide no advantages  over the simpler stent jail followed byostial side branch balloon dilation.
  • 2005 August 16, Editorial Comment in JACC:
    • …the simple approach of drug-eluting stenting of the main branch with provisional stenting of theside branch remains a reasonable option with a very acceptable profile of safety and effectiveness.

 

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