Six-months clinical and intracoronary imaging follow-up after reverse T and protrusion or double-kissing and crush stenting for the treatment of complex left main bifurcation lesions.

ABSTRACT:

Background

There is a debate regarding the best stent strategy for unprotected distal left main (LM) bifurcation disease. Among two-stent techniques, double-kissing and crush (DKC) is favored in current guidelines but is complex and requires expertise. Reverse T and Protrusion (rTAP) was shown to be a comparable strategy regarding short-term efficacy and safety, but with reduced procedural complexity.

Aim

To compare rTAP vs. DKC by optical coherence tomography (OCT) on the intermediate term.

Methods

52 consecutive patients with complex unprotected LM stenoses (Medina 0,1,1 or 1,1,1) were randomized to either DKC or rTAP and followed-up for a median of 189[180-263] days for clinical and OCT outcomes.

Results

At follow-up OCT showed similar change in the side bra

SUBMITTER: Abouelnour AE 

PROVIDER: S-EPMC10174439 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature