PCRonline-Webinar-DCB-medtronic

How do you treat a case of first ISR after DES?
Implant another DES of the same drug
Implant another DES of a different drug
Dilate with non-compliant balloons at high-pressure
Dilate with balloons or cutting or scoring and then use DCB
Perform intra-vascular imaging and decide if a new stent or a DCB
In which situations do you consider using DCB?
In small vessels
In bifurcations
In diffuse disease and long lesions
In culprit lesions of STEMI
In all of the above
Do you have a differential treatment strategy after performing intravascular imaging in the setting of BMS ISR?
yes, when homogenous tissue (SMC-rich neoihtima) is observed, it is advised to use DCB as default strategy
yes, when heterogeneous tissue (mixed neoihtima) is observed, you can use either DES or DCB
yes, when high attenuation tissue (lipid-laden neoihtima) is observed, it is advised to use another DES
no, I use DCB as default strategy
no, I use DES as default strategy
What are causes of ISR that may influence subsequent treatment strategy?
stent under-expansion is a frequent cause of ISR that must be treated with aggressive post-dilatation
stent under-expansion may prevent appropriate expansion of a second stent
stent under-expansion can be visualized by intravascular imaging and consequently treated
stent under-expansion is often observed in severely calcified coronary arteries
all of the above
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