The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions

Left main bifurcation PCI with the culotte technique using two self-apposing stents

EuroIntervention 2020;15:1458-1459. DOI: 10.4244/EIJ-D-19-00214

1. Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Italy




Figure 1. Culotte stenting technique of left main bifurcation with two self-apposing stents. A) & B) Coronary angiography. C) Left main (LM), left anterior descending (LAD), and LM-left circumflex (LCx) stenting: culotte technique, kissing balloon inflation and proximal optimisation technique (POT). D) & E) Angiographic result after stent deployment. F) Final intravascular ultrasound assessment confirming good stent apposition. POC: polygon of confluence

A 56-year-old male was admitted to our institution for percutaneous coronary intervention (PCI) of a left main (LM) bifurcation lesion. Since the LM dimensions were very large (reference vessel diameter [RVD] 5.1 mm on intravascular ultrasound [IVUS]), ...

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