title: Final kissing balloon inflation: the whole story.
abstract: Final kissing balloon inflation (KBI) after provisional bifurcation stenting has failed to provide clear clinical benefit except for a decrease in side branch stenosis, while a significant reduction of major adverse cardiac events has been documented in two-stent deployment. The optimisation of KBI in terms of proximal optimisation technique, appropriate guidewire re-crossing, minimal balloon overlapping, and balloon size selection may overcome the drawbacks of conventional KBI by: 1) correcting the proximal malapposition expected from fractal geometry; 2) optimising side branch ostium strut opening while conserving a bifurcation area free of malapposition at both the carina and the side branch ostium; and 3) optimising the geometry, velocity fields and shear rate.
authors.affiliation: Department of Cardiology, Cardiovascular Centre, Kyushu Medical Centre, Fukuoka, Japan.
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Murasato
authors.forename: Gérard
authors.initials: G
authors.lastname: Finet
authors.forename: Nicolas
authors.initials: N
authors.lastname: Foin
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003131:Combined Modality Therapy; D023921:Coronary Stenosis / Q000628:therapy*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods; D015607:Stents