3. Stents for left main stem and bifurcation lesions

Provisional stenting vs systematic culotte stenting

EBC TWO 5 years
Objective
to report the 5-year clinical outcomes of treatment of true non-left main bifurcation lesions using a provisional stenting strategy compared to a systematic culotte stenting strategy
Study
multicentre, randomised trial
Population
patients with true non-left main bifurcation lesion as a side-branch diameter ≥ 2.5mm and lesion length > 5mm
Endpoints
composite of all-cause mortality, MI or target-vessel revascularisation at 5 years
Conclusion
the use of provisional stenting for large non-left main bifurcation lesions has a non-significant but numerically lower adverse 5-year event rate as compared to systematic culotte stenting
Arunothayaraj et al. EuroIntervention 2023; 19: e297-e304
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