Which techniques have to be avoided for wide angle bifurcations

Which techniques have to be avoided for wide angle bifurcations

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European Bifurcation Club 2009, EBC 2009 – Berlin, Germany

BIFURCATION ANGLES: INFLUENCE ON BIFURCATION STENTING INDICATION

Which techniques have to be avoided for wide angle bifurcations

Author: Tom Adriaenssens, MD, PhD, UZ Leuven, Belgium

 

POSSIBLE PROBLEMS WITH A WIDE BA

  • Difficulty recrossing into side branch (crush, culotte)
  • Difficulty in advancing a second stent into the SB after MV is stented
  • Blood flow turbulence may raise risk for stent thrombosis, especially when using two or more DES
  • Alteration of BA after stenting: effect unknown

 

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