Provisional reverse "mini-crush" technique for bifurcation angioplasty.
The crush and "mini-crush" techniques have been described previously for complex coronary bifurcation intervention. Typically, the single stent technique, with or without final kissing balloon inflation, has been preferred over the 2-stent method, whenever possible, to minimize stent length or stent overlap. The multiple 2-stent techniques need to be utilized, however, when tackling compromised or dissected large side branches. We describe a new provisional 2-stent technique, which is a modification of the reverse crush technique while minimizing stent overlap at the bifurcation and ensuring good stent coverage at the side branch ostium.
Hussain
Farrukh
F
Assistant Professor of Medicine, Subspecialty Program Director, Interventional Cardiology, St. Boniface General Hospital, University of Manitoba, 30 Laurel Ridge Drive, Winnipeg, Manitoba, R3Y-1W7, Canada. farrukh7@mts.net
D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome