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Provisional Stenting:A Contemporary Relook at the Strategy and Lingering Issues

Cardiology Discovery 2022年第3期2卷 191-196页

作者： Gim-Hooi Choo Kumara Gurupparan Cardiac Vascular Sentral Kuala Lumpur Kuala Lumpur 50470Malaysia Institut Jantung Negara Kuala Lumpur 50400Malaysia

Bifurcation lesions are encountered and treated in up to 1 in 5 cases of percutaneous coronary intervention(PCI).Such lesions pose a technical challenge to PCI,leading to lower procedural success and a higher rate of long-term adverse ***,each bifurcation is unique in terms of anatomy and pathological *** is no“one size fits all”strategy for coronary bifurcation ***,in most scenarios,provisional stenting is the preferred *** method is easy to apply and involves a logical stepwise escalation approach that is highly successful and safe.

关键词： Percutaneous coronary intervention Coronary bifurcation Provisional stenting Proximal optimization technique kissing balloon inflation

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Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report

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World Journal of Clinical Cases 2020年第4期8卷 848-853页

作者： Bei-Bei Du Ya-Liang Tong Xing-Tong Wang Guo-Hui Liu Kun Liu Ping Yang Yu-Quan He Department of Cardiology China-Japan Union Hospital of Jilin UniversityJilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular DiseaseChangchun 130031Jilin ProvinceChina Department of Hematology and Oncology Cancer CenterThe First Hospital of Jilin UniversityChangchun 130031Jilin ProvinceChina

BACKGROUND Coronary intervention for bifurcation lesions is still challenging for interventional *** main(LM)bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is *** compromise of the side branch decreases patient prognosis,and its management is still an issue despite the different strategies and devices *** SUMMARY A 42-year-old male patient was admitted to hospital due to chest pain and *** angiography showed acute LM *** thrombus aspiration,a LM bifurcation lesion *** angiography was repeated one week later,and at the same time,3D optical coherence tomography(OCT)was carried out to better show the geometry of the bifurcation,which confirmed that the stenosis in the ostial left circumflex artery was caused by a long *** assessment of the plaque characteristics and the minimum lumen area,the cross-over strategy,kissing balloon inflation and proximal optimization technique were chosen to treat the bifurcation lesion.A“moving”carina was found twice during the *** stent apposition and expansion were confirmed by OCT after proximal optimization *** three-month follow-up showed good recovery and normal cardiac *** 3D-OCT can facilitate decision-making for coronary interventions in patients with critical bifurcation lesions.

关键词： 3-Dimensional optical coherence tomography Left main bifurcation Acute myocardial infarction Carina shift kissing balloon inflation Case report

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