Jorge Palazuelos Mollinero

University Hospital La Luz, Spain

Title: Long follow-up outcomes of treating bifurcation lesions with rotational atherectomy and provisional stenting

Abstract

Aims: Coronary bifurcations lesions are present in up to 20% of PCI. SB compromise reduces outcome. Rotational atherectomy (RA) and provisional stenting (RAPS) could solve it.

Methods And Results: 184 consecutive pt were randomized. 92 patients that underwent RA for 107 BL (RA+) vs a control group (RA-) of 92 pt with BL non-treated with RA. We observed lower need of balloons (number), stents (number) and two-stent technique in RA+ vs RA-: 1.6 vs 4.6 (p = 0.002), 1.8 vs 3.1 (p = 0.04) and 0% vs 25.6% (p < 0.001) respectively. In addition, lower rates of coronary dissection, side-branch compromise and final need for side-branch treatment were observed in RA+ vs RA-: 1.1% vs 6.9% (p = 0.02), 2.1% vs 23.9% (p < 0.001) and 1.1% vs 20.6% (p < 0.001) respectively. After 4 years of FUP PCI approach was related with lower TVF: (target vessel failure: composite of: cardiac death, vessel-related MI, TVR) and TBR (target bifurcation restenosis) rates in RA+ vs RA-: 23.1% vs 34.8% (p = 0.04) and 3.5% vs 14.8% (p = 0.03) respectively.

Conclusions: RAPS approach improves outcome, reducing TVF and TBR rates at 4y of follow-up.

Biography

Jorge Palazuelos Mollinero, Studied Medicine in Complutense University (Madrid) Cardiology´s specialty (2000) and my PhD (2004) in the University of Navarra (Spain) Interventional Cardiology fellowship in the San Carlos Clinic Hospital (Madrid, 2005) Currently, researcher and proctor of rotational atherectomy and left atrial appendage closure. Co-founder of the Spanish and the European Rotablation Clubs.

2nd World Congress on Heart and Cardiovascular Diseases

Jorge Palazuelos Mollinero

Title: Long follow-up outcomes of treating bifurcation lesions with rotational atherectomy and provisional stenting

Abstract

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