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Left Main bifurcation treatment with kissing stenting technique
- Operator : Duk-Woo Park
Left Main bifurcation treatment with kissing stenting technique |
- Operator: Duk Woo Park, MD |
Cilinical history |
A 36-year old woman was admitted to our hospital due to progressive exertional angina for several months. 20 years ago, she received surgical repair for ventricular septal defect (VSD) at another hospital. Her coronary risk factors were hypertension and dyslipidemia. Her physical examiniation was normal and cardic enzymes were normal. His ECG and chest X-ray were unremarkable. Treadmill test showed positive result at stage 2. Echocardiography revealed no remnant shunt flow in the previous repaired site and no gross regional wall motion abnormality with LVEF ~65%. |
Coronary angiographic findings |
1) Rt. coronary angiography showed no significant stenosis. |
Procedure |
We planned kissing stenting technique for both LAD and LCX lesion. An 8 Fr JL3.5 guiding catheter was engaged in left coronary artery through a right femoral approach. An 0.014¡± BMW guidewire was positioned in the LAD. And then, LCX was tried with a 0.014¡± Soft wire. Xience V 2.75/15mm was inserted to LCX enough to cover form LM to LCX, and Xience V 3.5X18mm was placed from LM to LAD. Both stents were simultaneously deployed (Figure 1). Then final kissing balloon inflation using previous stent balloons was done. The final angiogram showed a good result (Figure 2, Figure 3). |
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