Distal vs proximal strut crossing in BFL : Who is trying to sustain the confusion ?

Anyone who is flushed with millions can become a member of The Hurlingham Club in London or the Yacht Club in Monaco, or other glamorous clubs in the world. But, EBC* is different. Only cardiologists are privileged to enter. EBC is obviously different and unique. It is probably the only club addressing exclusively bifurcation coronary lesions. Apart from immense pride and academic entertainment, it teaches us some deep technical points. (By the way, BFL* is the minuscule spoke in the gigantic wheels of global atherosclerosis) Approach to BFL Although 90% of BFL still require a only drugs or simple single stent or a provisional second stent However , as per basic rules of human intellect, lesser problems continue to bother us and consume our precise time. This continues, even after realisng , there are 6 complex double stent strategies that doubles up complications. (*EBC -European Bifurcation club .BFL-Bifurcation lesion) We will adress one unique Issue in BFL .Again, could be loss of precise time .Still worth it .It is about the side branch crossing after intentinal jailing of side branch. Let us answer this query first Pure science: Observations from Bench test (Text from Ref 1) In contrast to provisional stenting in which re-crossing through a distal strut is desirable, initial re-crossing the crushed SB stent in the DK crush technique should be done through a proximal stent strut to minimise the risk of SB stent deformation. A theoretical exce...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized Source Type: blogs