Culotte bifurcation stenting with paclitaxel drug-eluting stent.
The results of using the culotte bifurcation technique have not been promising with regard to bare metal stents; however, some possible advantages with regard to drug-eluting stents (DES) must be taken into account, such as the possibility to stent provisionally, to use lower French sizes, and to completely cover the coronary wall and the new carina with a single or double stent layer. The crush technique, which aims to reach a complete coverage of the coronary wall to allow antiproliferative drugs to homogeneously distribute into the coronary walls, has been introduced. The culotte technique seems to act more physiologically, allowing the creation of a new, homogeneously covered carina, without any crushed metal inside the coronary wall. We present the case of a coronary bifurcation treated with the use of the culotte technique and paclitaxel-eluting stent deployment, with good angiographic results after 10 months of follow-up. Further data are needed to evaluate the potential utility of the culotte technique in treating bifurcation coronary lesions in the area of DES.
Mezzapelle
Giuseppe
G
Department of Interventional Cardiology, University of Pittsburgh Medical Centre European Medical Division, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione, 90127 Palermo, Italy.
Baldari
Duccio
D
Baglini
Roberto
R
D000789:Angina, Unstable / Q000188:drug therapy / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000188:drug therapy / Q000601:surgery*; D016503:Drug Delivery Systems; D006801:Humans; D008297:Male; D008875:Middle Aged; D017239:Paclitaxel / Q000008:administration & dosage*; D015607:Stents; D016896:Treatment Outcome
D017239:Paclitaxel