Transcript
Page 1: Pci in bifurcation lesion · True Bifurcation Lesions 110 101 1,00 Hellenic Institute of Cardiovascular Diseases . Limitations of Medina classification Does not take into account

Dimitriadis Dimokritos MD

interventional cardiologist

THESSALONIKI

Pci in bifurcation lesion.

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?

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Provisional stenting is the best strategy?

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If double stent, which technique ?

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• Stent main branch trapping wire

• Rewire sidebranch

• Dilate through struts of MB stent

• Deliver SB stent (proximal end of SB

stent 1 mm into MB)

• Deploy SB stent (balloon in MB)

• Pull back SB deployment balloon

slightly and kiss

• Exchange for non-compliant SB

balloon – 2 step SB dilatation (high

pressure in SB then Kiss)

TAP: T-stenting and small protrusion

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