Concerned about treating bifurcation lesions? Just keep it simple

At an interactive, personalised session on bifurcation lesions attendees discussed how to treat bifurcation lesions with a comprehensive review of the available techniques including tips and tricks from experts in the field, on 19 May. The main message from the session was to keep it “simple”. 

“A lot of interventionalists are very concerned about treating bifurcation lesions because they are not sure about the techniques available and how to apply them in daily practice. They are not sure about how to be safe and how to be simple,” said co-facilitator of the session Rosli Mohd Ali.  “Some of the interventionalists – when they see bifurcation – either do not treat it or they treat it but not optimally. Therefore, this session was very important because it helped interventionalists to learn new things or to be reassured that they are doing the right thing.”

In this EuroPCR’s personalised format session, participants had the opportunity to address as many questions as they had regarding bifurcation lesions, commented co-facilitator Sengottuvelu Gunasekaran. “It is very valuable for this particular subject because in a normal lecture session it is more difficult to ask and answer many individual questions,” he noted.

Co-facilitator Thomas Schmitz told attendees that the “single most important tool” before treating bifurcation lesions was to “think before you start to act and then define your primary and secondary strategies. Overall, you just have to keep it simple.”

By giving examples of specific cases, the facilitators explained how to classify bifurcation lesions, they discussed the pros and cons of the Medina classification and when to use a one-stent or two-stent approach. The facilitators also explained how to approach a bifurcation lesion step by step with tips and tricks. They also analysed the significance of side branches, the extent of severity of lesions, strategies for protection of side branches and reviewed techniques for each case including Provisional T, Classic T, Minicrush, “T” stenting and Cullote. Delegates also had the opportunity to discuss their individual cases asking the facilitators what they would do in those specific scenarios.

Discussing the value of attending this session, Luc Van Driessche, told The Daily Wire:“I found very valuable the opportunity to be able to interact with the experts in the field. You can bring across the problems you have in daily practice and translate them here into practical solutions.” 

Pier Cambier, who also attended said:“The session was very practical and interactive. There was no limitation in the way how we could ask questions.” He continued, “my take home message from the bifurcation session is ‘do not be afraid, just do it!’ I now have all the practical tools in my hands to go for it.”

Concerned about treating bifurcation lesions? Just keep it simple