The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)
Optical coherence tomography and intravascular ultrasound of double kissing crush coronary bifurcation stenting
EuroIntervention 2014;10:338 published online ahead of print May 2014. DOI: 10.4244/EIJY14M05_13
Ross J. McGeoch1, MB, ChB; Kentaro Tanaka2, MD; Mark A. Kotowycz1, MD, MBA; Hiram G. Bezerra2, MD, PhD; Vladimír Džavík1*, MD
1. Interventional Cardiology Program, Peter Munk Cardiac Center, University Health Network, Toronto, Ontario, Canada; 2. Cardiovascular Imaging Core Laboratories, University Hospitals Case Western Medical Center, Cleveland, OH, USA
A 55-year-old male underwent percutaneous coronary intervention (PCI) of a Medina 1,1,1 circumflex (LCx) and a first obtuse marginal (OM1) bifurcation lesion. A double kissing crush technique was performed, utilising a 2.75×12 mm everolimus-eluting stent (EES) in OM1 and a XIENCE V® 4.0×15 mm EES (Abbott Vascular, Santa Clara, CA, USA) in the LCx (Online Figure 1). Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) runs were performed (Online Figure 2, Online Figure 3, Moving image 1). 3D reconstruction of the OCT further clarified the reconstruction of the bifurcation carina and paving, in particular in the crushed segment. Quantitative analysis showed only 10/327 struts to be malapposed (Figure 1, ...