Stent diameter and type matters in the decision of 6 FR or 7 FR guiding catheter selection during simultaneous kissing stent technique in bifurcation lesions

Kırat, Tamer; Köse, Nuri; Altun, İbrahim; Akın, Fatih; Ergün, Gökhan; Soylu, Mustafa

doi:10.1016/j.ijcard.2016.01.086

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Percutaneous Coronary Intervention (Pci) Techniques1

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2022

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“…Two-stent techniques can also be performed using 6 Fr GC except when there are two stents in the GC at the same time, such as mini-crush, V or simultaneous kissing stenting techniques[ 27 ].…”

Section: Percutaneous Coronary Intervention (Pci) Techniquesmentioning

confidence: 99%

Fundamentals of percutaneous coronary bifurcation interventions

Kırat¹

2022

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Coronary bifurcation lesions (CBLs) account for 15%-20% of all percutaneous coronary interventions. The complex nature of these lesions is responsible for poorer procedural, early and late outcomes. This complex lesion subset has received great attention in the interventional cardiac community, and multiple stenting techniques have been developed. Of these, the provisional stenting technique is most often the default strategy; however, the elective double stenting (EDS) technique is preferred in certain subsets of complex CBLs. The double kissing crush technique may be the preferred EDS technique because of its efficacy and safety in comparative trials; however, this technique consists of many steps and requires training. Many new methods have recently been added to the EDS techniques to provide better stent scaffolding and to reduce early and late adverse outcomes. Intravascular imaging is necessary to determine the interventional strategy and postinterventional results. This review discusses the basic concepts, contemporary percutaneous interventional technical approaches, new methods, and controversial treatment issues of CBLs.

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Section: Percutaneous Coronary Intervention (Pci) Techniquesmentioning

confidence: 99%