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Coronary interventions

Coronary bifurcation treated with the hybrid mini-crush approach: a potential application of three-dimensional optical coherence tomography to optimise stent apposition

EuroIntervention 2015;11:e1 published online e-article December 2015. DOI: 10.4244/EIJV11I8A187

1. Manchester Heart Centre, Manchester Royal Infirmary, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom; 2. Institute of Cardiovascular Sciences, Manchester Academic Health Sciences Centre, University of Manchester
A 55-year-old male underwent an exercise treadmill test which was positive at stage 1.

Coronary angiography (Figure 1A, Moving image 1) demonstrated a long segment of disease in the proximal-mid left anterior descending (LAD) artery. A fractional flow reserve study was positive at 0.71, with no localising lesion on hyperaemic pullback. In addition, >5 mm disease was present in the ostial-proximal first diagonal. A hybrid mini-crush approach was adopted.

The LAD was predilated with a 3.0 mm non-compliant (NC) balloon. A 2.25×24 mm Promus PREMIER (Boston Scientific, Marlborough, MA, USA) drug-eluting stent (DES) was implanted in the diagonal and three overlapping Absorb bioresorbable ...

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