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EUROPEAN BIFURCATION CLUB

EUROPEAN BIFURCATION CLUB. Technique and Insights from Latin America. Marco Antonio Perin - Brasil. “T” Stent Technique. Modified“T” Stent Technique. Stent in bifurcation lesions. Techniques. “Y” Stent Technique. Cullote Technique. “V” Stent Technique. Kissing Stent Technique.

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EUROPEAN BIFURCATION CLUB

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  1. EUROPEAN BIFURCATION CLUB Technique and Insights from Latin America Marco Antonio Perin - Brasil

  2. “T” Stent Technique Modified“T” Stent Technique Stent in bifurcation lesions Techniques

  3. “Y” Stent Technique Cullote Technique “V” Stent Technique Kissing Stent Technique Stent in bifurcation lesions Techniques

  4. Dedicated Bif. Stent Platform Main Vessel prox. Main Vessel dist. • Closed Cell • Variable Stent Geometry • Right Scaffolding • Even Drug Elution • Dedicated Bif Stent platform and SDS • Provide an easy, fast, operator independent, technique • Achieve right scaffolding and even drug elution • Optimize Drug therapeutic effect

  5. BIFURCATION LESIONS- HIAE Time Interval: 5 / 2002 a 12 / 2004 91 True bifurcations treated with DES Bifurcations types : LAD/DG = 61 CX/MG = 17 RCD/PD = 4 LM/ LAD-CX = 7 LAD/DLS = 1 SVG/SVG = 1

  6. BIFURCATION LESIONS- HIAE Time Interval : 5 / 2002 to 12 / 2004 91 bifurcations treated with DES 1 stent --------------------------------- 48 bif 2 stents --------------------------------- 43 bif Crushing --------------------------------- 16 bif Kissing balloon final -------------------- 81 bif Sucess: 99% (1) Main Branch 93% (6) Side Branch

  7. BIFURCATION LESIONS- HIAE Time Interval : 5 / 2002 to 12 / 2004 91 BIFURCATIONS FOLLOW-UP > 6 MONTHS = 97% MACE = 10 ( 11%) Clinical Restenosis = 7 (7.8%) TVR = 4 ( 4.4%) Acute Thrombosis = 1 (death) There was no difference between Paclitaxel ( 42%) or Sirolimus (58%) Eluting stents

  8. A.C, 58 anos, sexo masculino. A.P: HAS e Tabagismo Infarto agudo do miocárdio. Início da dor há 12 horas.

  9. 10 MONTHS CONTROL

  10. DLS, masculino, 78 anos Quadro Clínico: Angina instável Antecedentes: Tabagismo prévio Dislipidemia Hipertensão arterial AVC prévio

  11. CINECORONARIOGRAFIA APÓS 4 MESES DO PROCEDIMENTO

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