J Transcat Intervent.2021;29:eA20210002.

Stenting of left main bifurcation lesion using modified double-kissing culotte technique

Rohit Mody ORCID logo , Debabrata Dash ORCID logo , Bhavya Mody ORCID logo , Aditya Saholi ORCID logo , Shubham Sachdeva ORCID logo

DOI: 10.31160/JOTCI202129A20210002

Abstract

Left main coronary artery bifurcation represents one of the most challenging settings for the interventional cardiologists. The conventional stents are designed and shaped to restore tubular geometry, while the left main coronary artery bifurcation is far more complex with different diameters and non-tubular cross-sections. In relevant patients, two stent strategy is preferred over provisional T-stenting. The double-kissing crush has been the preferred double stent technique. We present a case in which the double-kissing approach was used in left main coronary artery bifurcation stenting with the culotte technique, which resulted in good angiographic outcome and no malapposition. Patient was stable even at 4 months follow-up.

Stenting of left main bifurcation lesion using modified double-kissing culotte technique

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