E-Posters

introduction / background

Kissing Balloon Inflation (KBI) technique was the first technique for percutaneous intervention in bifurcation lesions. It's the standard strategy in the two-stent procedure. Its benefit in one-stent approach remains uncertain. Several trials comparing KBI strategy with the No-KBI strategy in one-stent technique did not show any advantages in the clinical outcome. Clinical outcome and the follow up of ischemic symptoms is a useful method to compare the effectiveness of both strategies

Objectives

To study the short-term clinical outcome (3and 6 months) of provisional versus routine kissing balloon technique after main vessel stenting for coronary bifurcation lesions.

Materials & Methods

The study included sixty consecutive patients. They were randomized to receive different side branch (SB) intervention strategies: group I (provisional final kissing balloon inflation group - PFKBI) (FKBI only when SB Flow less than TIMI 3) and group II (routine final kissing balloon inflation group – RFKBI).

Results

1- Dissection of side branch and conversion to two stent strategy was significantly higher in PFKBI group (14,3%) than in RFKBI group (0) 2-The amount of dye, total procedure time and time of admission was significantly higher in RFKBI group. 3-Chest pain immediately after the procedure was significantly higher in PFKBI group while at 3 and 6 months follow up no significant difference between both groups was noticed. 4- MACE, target lesion revascularization (TLR) and stent thrombosis were similar between both groups at 3 and 6 months.

Conculsion

Main vessel stenting with and without final kissing balloon dilatation was associated with favorable and similar 3 and 6-month clinical outcomes.

References

1- Gao XF, Zhang YJ, Tian NL, et al. Stenting strategy for coronary artery bifurcation with drug eluting stents: a meta-analysis of nine randomized trials and systematic review. EuroIntervention 2014; 10:5619. 2- Maeng M, Holm NR, Erglis A, et al. Nordic- Baltic Percutaneous Coronary Intervention Study Group. Long-term results after simple versus complex stenting of coronary artery bifurcation lesions: Nordic Bifurcation Study 5-year follow-up results. J Am Coll Cardiol 2013;62:30–4. 3-Korn HV, Yu J, Ohlow MA, et al. Interventional therapy of bifurcation lesions: a TIMI flow-guided concept to treat side branches in bifurcation lesions—a prospective randomized clinical study (Thueringer Bifurcation Study, THUEBIS study as pilot trial). Circ Cardiovasc Interv 2009; 2:535– 42. 4- Koo BK, Lee SP, Lee JH, et al .Assessment of clinical, electrocardiographic, and physiological relevance of diagonal branch in left anterior descending coronary artery bifurcation lesions. JACC Cardiovasc Interv (2012): 5:1126–1132 5- Van Houwelingen KG, van der Heijden LC, Lam MK, et al. Longterm outcome and chest pain in patients with true versus non-true bifurcation lesions treated with second-generation drug-eluting stents in the TWENTE trial. Heart Vessels (2016) 31:1731–1739

acknowledgement / Contact

© 2021. Tanta University. All right reserved.