Chinese Bifurcation Summit (CBS): Left Main Bifurcations-The Importance of DCB in Stenting the Simple Bifurcation Lesions

The Importance of DCB in Stenting the Simple Bifurcation Lesions

Video Transcription

Video Summary

The study discussed evaluates the effectiveness of drug-coated balloons (DCB) compared to non-compliant balloons (NCB) for treating side branches in coronary bifurcation lesions using the provisional slanting technique. This randomized clinical trial involved 784 patients across four countries, focusing on simple, true coronary bifurcation lesions. Key criteria included patients aged 18 and older with specific artery diameters and lesion lengths. The study aimed to see if DCB improves clinical outcomes over NCB. Results at a one-year follow-up showed lower target lesion failure and myocardial infarction rates in the DCB group compared to the NCB group, suggesting potential benefits of DCB in this scenario. The trial confirmed a low crossover from using one to two stents, maintaining the study's consistency with clinical practice protocols. The significance of the results remains under discussion, with further trials needed to confirm DCB's benefits for such lesions.

Asset Subtitle

Shao Liang Chen, MD, PhD, MSCAI

Keywords

drug-coated balloons

coronary bifurcation lesions

randomized clinical trial

myocardial infarction

provisional slanting technique