Trifurcation stenting using two guide catheters

Puri, Aniket; Sethi, Rishi; Puri, Vijay K.

doi:10.1002/ccd.22284

Cited by 1 publication

(2 citation statements)

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“…But delivering the three balloons for final kissing approach always requires 8 or 9 F guide. Furthermore, a ''ménage a` trios'', or simultaneous triple kissing has been described in a few case reports as the solution to achieve ostial scaffolding and stent apposition [1]. Here, in our case this difficulty was circumvented by using two simultaneous access sites and dual 6F guide catheters.…”

Section: Case Reportmentioning

confidence: 80%

“…Therefore, optimal approach to coronary trifurcation lesions is lacking. Simultaneous triple angioplasty for trifurcation lesions usually require 8-9 French (Fr) guide catheters which is not frequently available on a routine basis, increases access site bleeding, and risk of haematoma [1]. When strategically planned, many of them can be done by using two 6F guide catheter, thereby negating side effect of bigger guide catheter.…”

Section: Introductionmentioning

confidence: 99%

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Trifurcation Stenting of left anterior descending artery by “Kurdistan” Technique using Two Guide Catheters

et al. 2016

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Percutaneous coronary intervention of trifurcating lesion is a challenging and complex procedure. This has been reported for left main trifurcation disease but little is known about such substrate in left anterior descending artery. We herein report a case of 68-year-old male with chronic stable angina who was successfully treated with percutaneous coronary stent implantation for trifurcation lesion of left anterior descending artery. Bifurcation lesion was treated using culottes' technique with 6F guide catheter. Balloon angioplasty of third side branch of the trifurcation lesion was performed with another 6F guide catheter. Here, first 6F catheter was pulled to dehook the left main when left main was being hooked with second 6F catheter. Fine tuning of both guide catheters needs to be exercised to make them stable, and to avoid injury of left main artery. This is the first case report to highlight the feasibility and efficacy of dual guiding catheter to treat a trifurcation lesion of left anterior descending artery by "Kurdistan" Technique.

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Section: Case Reportmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%