When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in Front of the SB. No

When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in Front of the SB. No

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European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain

CONSENSUS SESSION – VOTING

When Treating Distal LM with Provisional Approach We Should Systematically Remove Struts in front of the SB – NO!

Author: Imad Sheiban, MD, PhD, Pederzoli Hospital -Pechiera D/G (Verona), Italy

Why KBI ?

  • To keep SB open and avoid peri-procedural SB occlusion ( MI )
  • Optimise stent expansion at the carina
  • Cover SB ostium with the stent
  • Correct stent deformation caused by SB opening
  • Keep access for future interventions

Final Remarks

  • In single stenting avoid unnecessary KBI ; kissing balloon inflation or pressure wire interrogation, should be used when an angiographically significant (>70%) side branch lesion remains ader main branch stenting
  • Proximal Optimization Technique (POT) – if no symptoms , no T-ST modifications and TIMI III flow in SB – should not be followed by KBI or any intervention on
  • When required KBI should be performed optimally and followed by final POT to insure optimal expansion and stent apposition

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