EBC - ON DEMAND
Why I don’t kiss ?
European Bifurcation Club 2010, EBC 2010 – Budapest, Hungary
Kissing in simple strategy?
Why I don’t kiss ?
Author: Hyeon-Cheol Gwon, MD, Samsung Medical Center, Seoul, Korea
WHY I DON’T KISS? I KISS
- I prefer to discuss SB ballooning rather than kissing ballooning.
- Side branch ballooning is not always followed by kissing ballooning.
SUMMARY – Why I try to avoid SB ballooning
- SB ballooning may deform the stent struts, which is not always corrected by kissing ballooning.
- SB narrowing after MV stenting is frequently insignificant, either physiologically and clinically.
- SB patency is well maintained at long-term follow-up
- Finally, clinical studies showed no benefit of SB ballooning with or without kissing ballooning.
CONCLUSION
- Side branch is not so important than we thought. The threshold for significant SB should be higher.
- The treatment should be focused on MV, trying to avoid SB ballooning, as far as SB is not occluded.