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Explore different stent optimization strategies and registry outcomes for type 001 lesions, with a focus on bifurcation stenting techniques. Investigate the efficacy of Inverted T, Dogbone, and DEB procedures for optimal lesion coverage and patient outcomes.
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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!