Side branch sacrifice : Smart cardiologists shall do it scientifically !

This study has taught us most side branches retain good FFR give us more confidence to sacrifice the sibling branches of main stem arteries. Final message Practicing cardiology in a truly professional way in cath lab can be tricky.We need to disrespect most of the side branches .Believe in your gut feeling (or your consultant’s.) If you are a sensitive scientific cardiologist do FFR pre / post procedure to the side branch .If compromised physiologically try probing the jailed struts and dilate one of them in absolute blindness , of course with a strong conviction of doing good for the science’s  sake. A Research concept   Long term sequelae of side branch jailing on the main branch ostia  (Please acknowledge  if some one take up this study ) References 1. 2. Bon-KwonKooMD, Hyun-JaiKang,Tae-JinYoun Physiologic Assessment of Jailed Side Branch Lesions Using Fractional Flow Reserve Journal of the American College of Cardiology Volume 46, Issue 4, 16 August 2005, Pages 633-637 3. Okamura T1, Onuma Y, García-García HM, Regar E3-Dimensional optical coherence tomography assessment of jailed side branches by bioresorbable vascular scaffolds: a proposal for classification. JACC Cardiovasc Interv. 2010 Aug;3(8):836-44
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Cardiology-Coronary artery disese cath lab tips and tricks side branch jailing ffr in side branch jailing what is the significance of side branch compromise what is the significant side branch Source Type: blogs