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Bifurcation Stenting

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Double-Kiss-Crush Bifurcation Stenting: Step-by-Step Troubleshooting Percutaneous Coronary Intervention Techniques for Bifurcation Disease: Network Meta-analysis Reveals Superiority of Double-Kissing Crush Multicentre, randomized comparison of two-stent and provisional stenting techniques in patients with complex coronary bifurcation lesions: the DEFINITION II trial Usefulness of longitudinal reconstructed optical coherence tomography images for predicting the need for the reverse wire technique during coronary bifurcation interventions Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions Active SB-P Versus Conventional Approach to the Protection of High-Risk Side Branches: The CIT-RESOLVE Trial Percutaneous coronary intervention for coronary bifurcation disease: 11th consensus document from the European Bifurcation Club Definitions and classifications of bifurcation lesions and treatment
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Expert Opinion2015;11 Suppl V:V99-101.

JOURNAL：EuroIntervention. Article Link

Technical aspects of the culotte technique

Erglis A, Lassen JF, Di Mario C. Keywords: culotte technique; bifurcaiton stenting; shortcoming

ABSTRACT

The culotte technique provides near perfect coverage of the carina and side branch ostium at the expense of an excess of metal covering the proximal end. It can be used in almost all true bifurcation lesions, but should be avoided in bifurcations when there is a large mismatch between the proximal main branch and the side branch diameters. The main disadvantage of this technique is that rewiring of both branches through the stent struts is required, which can be difficult, technically demanding, and time-consuming.
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