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A “Simplified” culotte technique using two dedicated bifurcation stents and additional angiographic stent enhancement to treat a complex bifurcation lesion in non‐ST segment elevation myocardial infarction with poor left ventricular function
Author(s) -
Chan Yu Ho,
Stella Pieter R.,
Agostoni Pierfrancesco
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25795
Subject(s) - medicine , stent , lesion , target lesion , cardiology , bifurcation , radiology , myocardial infarction , ostium , sirolimus , percutaneous coronary intervention , surgery , physics , nonlinear system , quantum mechanics
We present a case of a bifurcation lesion treated with two dedicated sirolimus eluting bifurcation stents, BiOSS Lim in the setting of non‐ST elevation myocardial infarction and poor left ventricular function. We demonstrate the feasibility of a new technique, a “simplified” culotte technique. The key differences of this new technique compared with conventional culotte are: better sizing of the stent due to the specific design of the stent with a larger proximal diameter and smaller distal diameter, direct stenting of the second stent without predilatation of the stent struts of the first deployed stent, and possibility to perform post‐dilatation directly with properly sized balloons without additional predilatation. © 2015 Wiley Periodicals, Inc.