title: Complex made easy: left anterior descending artery trifurcation lesion completely treated with a single device.
abstract: Coronary trifurcation lesions are a complex subset of lesions. We present a case of a percutaneous intervention of a trifurcation lesion involving the left anterior descending artery and 2 diagonal branches completely treated with one single device, the novel stent-on-a-wire (SOAW) (Svelte Medical Systems), for the whole procedure. The SOAW is an all-in-one device with a bare cobalt-chrome stent mounted on a balloon directly connected to a wire. The stent of the SOAW was deployed in the left anterior descending artery over the ostia of the 2 diagonal branches. Using the same wire plus balloon device of the SOAW, further recrossing in direction of the 2 side branches and balloon dilation of both ostia through the stent struts was possible. Conclusive post-dilatation of the stent was then performed once again with the same SOAW device. The final angiographic result was successful, and patency of the stented segment was confirmed also at 5-month angiographic follow-up.
authors.affiliation: Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584CX, Utrecht, The Netherlands.
authors.forename: Chunlai
authors.initials: C
authors.lastname: Shao
authors.forename: Pieter R
authors.initials: PR
authors.lastname: Stella
authors.forename: Pierfrancesco
authors.initials: P
authors.lastname: Agostoni
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D004867:Equipment Design; D005260:Female; D006801:Humans; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications; D015607:Stents / Q000639:trends*; D016896:Treatment Outcome