title: Modified flower petal technique in the treatment of Medina type 0,0,1 or 0,1,0 lesions.
abstract: OBJECTIVE
  The optimal strategy for patients with isolated ostial bifurcation lesions has not yet been determined. We propose the modified flower petal technique for the treatment of Medina type 0,0,1 or 0,1,0 coronary bifurcation lesions.
  
  
  RESULTS
  We selected 64 patients who had Medina type 0,0,1 or 0,1,0 coronary bifurcation lesions. Percutaneous coronary intervention (PCI) was performed with the modified flower petal technique in all patients. After PCI, all patients were followed up to nine months after the intervention. Quantitative coronary angiography (QCA) analyses were performed for both the main and the side branch at baseline, after the stent implantation and at nine-month follow-up. Twenty patients (31.2%) had ostial left anterior descending artery lesions, nine patients (14.1%) had ostial circumflex artery lesions and the other patients had isolated ostial non-left main bifurcation lesions. The procedural success rate was 100%. There was no death, myocardial infarction, subacute or late stent thrombosis at nine-month follow-up. In one patient, in-stent restenosis requiring reintervention was noted.
  
  
  CONCLUSIONS
  The modified flower petal technique has excellent acute results and midterm clinical outcomes in the management of Medina type 0,0,1 or 0,1,0 coronary bifurcation lesions.
authors.affiliation: Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Çayli
authors.forename: Zafer
authors.initials: Z
authors.lastname: Elbasan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gür
authors.forename: Taner
authors.initials: T
authors.lastname: Seker
authors.forename: Hakan
authors.initials: H
authors.lastname: Uçar
authors.forename: Osman
authors.initials: O
authors.lastname: Kuloglu
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Sen
authors.forename: Durmus Yıldıray
authors.initials: DY
authors.lastname: Sahin
authors.forename: Gülhan Yüksel
authors.initials: GY
authors.lastname: Kalkan
mesh_terms: D000368:Aged; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy*; D023903:Coronary Restenosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D019233:Retreatment; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional