Naslov
Treatment of a true CXA-OM bifurcation lesion using a one stent drug coated balloons provisional technique

Autori
Gabaldo, Krešimir ; Vujeva, Božo ; Cvitkušić Lukenda, Katica ; Knežević Praveček, Marijana ; Vučić, Domagoj

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Cardiologia Croatica, Vol. 15 No. 3-4 / - , 2020, 51-51

Skup
9th Croatian Conference on Interventional Cardiology (CROINTERVENT 2020)

Mjesto i datum
Zagreb, Hrvatska, 19.03.2020. - 22.03.2020

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
bifurcation lesions ; acute coronary syndrome ; drug coated balloons

Sažetak
Sažetak Background: Provisional stenting is a favorable option for most bifurcation lesions, while two stent techniques show benefits in true bifurcation performed by experts. Using one stent and DCB in true bifurcation lesions still remains questionable.1, 2 Case report: 76-year-old male presented with persisting chest pain. ECG showed no specific ischemic changes, while hsTnI was highly elevated. He had gone PCI LAD 14 years ago. Diagnosis: right coronary angiography revealed occlusion of RCA, while left coronary angiography revealed LLS of 20% in proximal LAD stent, 70% stenosis of mid LAD, and acute occlusion of secondary OM branch on bifurcation level, while CxA was stenosed 70-80%. Management: PCI CxA-OM2 was performed with DES Xience expedition 2, 75/33mm in CxA-OM2 with POT 3, 25/12mm proximally, then after rewiring and adequate lesion preparation a DEB Sequent please 2, 5/25mm in CxA distally was performed. After two months we performed an elective PCI LAD and checked out the result of CxA bifurcation which was optimal. Conclusion: Using one stent and DCB in true bifurcation lesions still remains questionable. There are no data from a prospective study, while there are data from the observational study which enrolled 130 patients. DCB-only strategy was performed in 54% patients, 34.6% had at least one stent in the main branch, 8.5% had at least one stent in the side branch and 3.1% at least one stent in the main branch and side branch. Study follow up lasted for 9.8 months. The TLR rate was 4.5%, MACE was 6.1%, and no stent thrombosis was detected. This study suggested that the DCB+one stent, and DCB-only strategy was safe and effective in selected bifurcations, possibly allowing for an abbreviated antiplatelet regimen.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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