ABSTRACT
In conclusion, the percutaneous treatment of coronary bifurcation stenoses is hampered by an increased rate of subsequent restenosis. The present chapter reports on the outcomes of a consecutive series of unselected patients with de novo bifurcation stenoses, treated with sirolimus-eluting stent implantation in
(LAD)/diagonal bifurcation utilizing the ‘crush’ technique. Note that both stents are positioned simultaneously at the bifurcation site, with the stent at the diagonal protruding towards the lumen of the left anterior descending artery (right panel A).The stent in the diagonal was deployed first (right panel B), while the stent in the LAD was kept steady.The LAD stent is then deployed, ‘crushing’ the stent just deployed in the diagonal (with its proximal portion partially at the LAD) (right panel C).The acute final angiographic result was maintained virtually unchanged at 6 months.
