Journal article

A Y-shaped bifurcation-dedicated stent for the treatment of de novo coronary bifurcation lesions: an IVUS analysis from the BRANCH trial

Kenji Sakata, Bon-Kwon Koo, Katsuhisa Waseda, Daisaku Nakatani, Paul Yock, Robert Whitbourn, Stephen Worthley, John Ormiston, Mark Webster, Gerald Wilkins, Yasuhiro Honda, Ian Meredith, Peter Fitzgerald

EuroIntervention | EUROPA EDITION | Published : 2015

Abstract

AIMS: The aim of this IVUS substudy was to assess the efficacy of the Y-shaped Medtronic bifurcation-dedicated stent (BDS) for the treatment of de novo coronary bifurcated lesions. METHODS AND RESULTS: In the BRANCH trial, post-procedure IVUS was performed in 45 patients. IVUS was available in both branches in 19 lesions and only the main branch (MB) in 26 lesions. IVUS analysis included four distinct locations: proximal MB, bifurcation site, distal MB, and side branch (SB). Lumen symmetry was calculated as minimum/maximum lumen diameters. The quantity of isolated stent struts across the SB ostium was used to assess inadequate strut apposition to the carina resulting in partial jailing of th..

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