title: Optical coherence tomography assessment of a complex bifurcation lesion treated with double kissing Crush technique: A case report.
abstract: The DEFINITION (Impact of the complexity of bifurcation lesions treated with drug-eluting stents) study has provided a novel classification to evaluate the complexity of coronary bifurcation lesion according to coronary angiography, but angiographic imaging due to its low resolution and inherited limitation may result in an inaccurate adjudication.We used optical coherence tomography (OCT) to further evaluate the coronary characteristics in a patient with "simple" bifurcation lesion which was classified by the DEFINITION criteria. However, a "complex" bifurcation lesion was defined and confirmed according to the OCT results.A double kissing Crush stenting approach was adopted to treat this "complex" case finally. The immediate and long-term angiographic and OCT results were excellent.OCT may be useful imaging modality to classify complexity of coronary bifurcation lesion and subsequently guide its treatment strategy.
authors.affiliation: Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China Department of Cardiovascular Sciences, University College London Department of Cardiology, Barts Heart Centre, London, UK.
authors.forename: Jin-Zan
authors.initials: JZ
authors.lastname: Cai
authors.forename: Yao-Jun
authors.initials: YJ
authors.lastname: Zhang
authors.forename: Tian
authors.initials: T
authors.lastname: Xu
authors.forename: Yong-Xiang
authors.initials: YX
authors.lastname: Zhu
authors.forename: Chen-Yu
authors.initials: CY
authors.lastname: Mao
authors.forename: Christos V
authors.initials: CV
authors.lastname: Bourantas
authors.forename: Tom
authors.initials: T
authors.lastname: Crake
authors.forename: Shao-Liang
authors.initials: SL
authors.lastname: Chen
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000379:methods; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000628:therapy; D041623:Tomography, Optical Coherence