European Bifurcation Club 2005, EBC 2005 – Bordeaux, France
DEBATE – STATE OF THE ART: DES – TWO STENT ALWAYS
Two Stents Always: when both branches have significant stenosis and can be stented
Author: Antonio Colombo, MD, Centro Cuore Columbus, Milan, Italy
Treatment of bifurcational lesions using DES is feasible with very low immediate angiographic complications. One stent should be the first strategy when non significant narrowing is present on the side branch.
- In complex bifurcations 2 stents as intention to treat.
- Low rates of target vessel revascularization has been observed in the main branch.
- Thrombosis remains rare (larger number of patients needed to make a statement).
- Problem of restenosis at the side branch improved but not fully solved.
- Treatment of ostial lesions with DES can be successfully accomplished in most conditions with one stent and protection balloon if 0stial Bifurcations
- Need for atherectomy pre-stenting still intriguing but needs data to justify its usage
- Low rates of target vessel revascularization has been observed.
- Thrombosis is rare