CORPALBRSREGISTRYJanuary 2012-January 2015.

Provisional BVS

n = 199

Floating/Precise

adjustment

n = 22

1) 1 BVS across and nothing moreN=77

Provisional BVS implantationMedina {X,X,0}

**

*

*

Angio CT 6 months

BVS 3.5x28

2) SB pre-dilation + 1 BVS acrossn=32

Provisional BVS implantation{1,1,1}, {0,1,1}, {1,0,1}

(AmHeartJ2014;168:374-80.)

• No deformity of the BVS.

• Implantation technique like in nobifurcation lesions.

• Not always applicable.

SUPERSIMPLE STRATEGIES:-1 BVS across- SB pre-dilation + 1 BVS across

3) SB postdilation (no kissing) n=55

Provisional BVS implantation

BVS deformation afterSB postdilation

BVS after re-POT

Provisional BVS implantation4) Undesized Kissing balloon

n=33

CORRECTION OF DEFORMITIES OF THE BVS AFTER SB POSTDILATION

• No correction (OCT evaluation).• POT.• Side Main Side.• POT Side POT.• Undersized Kissing (“Pitagorian formula”).• Snuggle technique.

FRACTURES OF BRS

(AmJCardiol 2015;116:1045-1049)

3/49 (6%)

(Pot)(Pot-Side-Pot)

RevEspCardiol 2016;69:554-62.

BVSINBIFURCATION:THECORPALSERIES

PROVISIONALSTRATEGY:

- SBpostdilation:40%.

- Two BVS:1%.

- TLR:5.6%.

- BVSthrombosis:1.3%.

- Mortality:1.5%.

- 1-yearMACE:8.7%.

Por OCT se comprueba que, tras el inflado, el BVS ha recuperado su geometría y está adherido a la pared

del vaso

Conclusions§ BVS for bifurcation lesions is an attractive

percutaneous alternative.

§ Provisional stenting with BVS are feasible and has good immediate and mid term results.

§ After SB dilation (≥2.5 mm) OCT is advisable.

§ Studies are needed at long term follow-up toconfirm these findings.

CURRENEXPERIENCEOFBRSUSEINTHETREATMENTOFBIFURCATIONLESIONS

Kawamoto.Catheterization andCardiovascularInterventions 86:644–652(2015)

CURRENEXPERIENCEOFBRSUSEINTHETREATMENTOFBIFURCATIONLESIONS

n=102.1-yearfollow-up.Paolis.InternationalJournal ofCardiology inpressProvisionalstenting 93%

CURRENEXPERIENCEOFBRSUSEINTHETREATMENTOFBIFURCATIONLESIONS

1-yearBVSthrombosis=2.5%

GHOSTsubstudy Catheterization andCardiovascularInterventions.InpressProvisionalstenting 260lesions