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001 2010 REGISTRY 001 2010 STUDY. What is the best approach? Ph Brunel. 2010 BUDAPEST. STENT BOOST IN BIFURCATION STENTING VALENCE EBC 2007. SBOK In provisional T. SBOK STENT BOOST OPTIMIZATION OF KISSING. SBOK In provisional T. STENT BOOST IN BIFURCATION STENTING.
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001 2010 REGISTRY 001 2010 STUDY What is the best approach? Ph Brunel 2010 BUDAPEST
STENT BOOST IN BIFURCATION STENTINGVALENCE EBC 2007 SBOK In provisional T
SBOK STENT BOOST OPTIMIZATION OF KISSING SBOK In provisional T
STENT BOOST IN BIFURCATION STENTING SBOK Stent Boost Optimization of Kissing SBOK In provisional T
001 STENTING EBC 2008 • Zehetgruber Dogbone technique for ostial positionning • Brunel Inverted T for full coverage
001 STENTING • Brunel Inverted T
001 STENTING • Brunel Inverted T
001 STENTING EBC 2008 • Zehetgruber Dogbone • Brunel Inverted T No consensus was reached by the EBC regarding the best technical approach to 001 lesions and decision was taken to set up a multicenter consecutive EBC registry
001 STRATEGIES 45 cases Inverted T • Hildick Smith 5 cases (Biomatrix) 4 months all asympto • Ungi 11 cases (7tryton 3 taxus 1 other) success 100% (one impossibility to deliver a tryton, one tryton misplacment 1month OK 12 Months 1SA 1UA • Tryton Data base 8 cases success 100% no FU datas • Brunel 21 cases more (Taxus Liberté) 10 months 2 symptomatic 1TVR /60 Cases : TLR 1,7% TVR 3,3% OTHERS • Zehetgruber Dogbone no cases • Vaquerizo DIOR registry approach DEB ? cases
De novo bifurcated lesion (001 Medina Classification) • International Multicenter Registry: 001-DIOR • Balloon angioplasty followed by Dior in ostial coronary lesions (001 bifurcated lesions) ≥ 2mm • No Left Main bifurcation lesions. Diagonal, marginal, PDA, PL branches… • Angio FU at 7-8 months in all patients and 1 year clinical FU
001 RANDOMIZATION ? INVERTED T vs DEB Inverted T with DES Questions : 1 DEB alone ? or followed by ostial BMS? 2 if BMS dogbone ? or Szabo ? or Other? • FFR of the 001 lesion • FFR evaluation immediately after at FU? STENT BOOST EVALUATION
Ph Brunel THANKS!