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10-Year Outcomes of Stents Versus Coronary Artery Bypass Grafting for Left Main Coronary Artery Disease Long-Term Outcomes of Different Two-Stent Techniques With Second-Generation Drug-Eluting Stents for Unprotected Left Main Bifurcation Disease: Insights From the FAILS-2 Study Impact of SYNTAX Score on 10-Year Outcomes After Revascularization for Left Main Coronary Artery Disease Bayesian Interpretation of the EXCEL Trial and Other Randomized Clinical Trials of Left Main Coronary Artery Revascularization Left Main Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With Prior Cerebrovascular Disease: Results From the EXCEL Trial Intravascular Imaging and 12-Month Mortality After Unprotected Left Main Stem PCI: An Analysis From the British Cardiovascular Intervention Society Database Left Main Revascularization in 2017: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention? Revascularization of left main coronary artery Intravascular Imaging and 12-Month Mortality After Unprotected Left Main Stem PCI: An Analysis From the British Cardiovascular Intervention Society Database Percutaneous coronary intervention for the left main stem and other bifurcation lesions: 12th consensus document from the European Bifurcation Club
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Clinical Case Study2018 Feb 2;13(15):e1812-e1813.

JOURNAL：EuroIntervention. Article Link

Influence of the sequence of proximal optimisation technique and side branch dilation for the opening of jailed struts after coronary bifurcation stenting

Murasato Y, Mori T, Okamura T et al. Keywords: proximal optimisation technique; side branch dilation; jailed struts; coronary bifurcation stenting

ABSTRACT

A 67-year-old man with a 1,1,0 lesion in the left circumflex artery obtuse marginal branch bifurcation (Panel Aa), in which vessel references in the proximal, distal MV and SB were 3.2, 2.6, and 2.8 mm, respectively, underwent zotarolimus-eluting 2.75×12 mm stent (Medtronic, Minneapolis, MN, USA) implantation at 8 atm (Panel Ab). POT was performed with the stent delivery balloon at 12 atm with its distal marker located in the carina to ensure that the stent was well apposed (Panel Ac). A 2.5×4 mm Glider PTCA balloon (TriReme, Pleasanton, CA, USA) was subsequently dilated in the SB ostium (Panel Ad). The procedure was guided with two-dimensional (2D) OCT (St. Jude Medical, St. Paul, MN, USA) and the data were sent to another hospital for 3D reconstruction using dedicated software (INTAGE Realia; CYBERNET, Tokyo, Japan). The 3D image demonstrated GWR into the proximal cell (Panel Ba); however, the protruded struts were folded towards the distal SB after SB dilation (Panel Bb-Bd, Moving image 1, Moving image 2).

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