New bifurcation guidewire technique: a reversed guidewire technique for extremely angulated bifurcation--a case report.
We experienced a successfully treated case who had 99% stenosis with a severe delay of the ostial LAD which bifurcated steeply from the LMT. On treating this extreme situation, we used the newly developed "reversed guidewire" technique, and two Cypher stents were deployed as a cullotte-stent for the LMT bifurcation successfully. The "reversed guidewire" technique is considered to be a useful method for treating of extremely angled bifurcation.
Kawasaki
Tomohiro
T
Cardiovascular Center, Shin-Koga Hospital, Kurume, Fukuoka, Japan. to-kawasaki@mug.biglobe.ne.jp
Koga
Hishashi
H
Serikawa
Takeshi
T
D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000033:anatomy & histology; D006801:Humans; D008297:Male; D015607:Stents