An 8 Fr XB 3.5 guiding catheter was engaged at the left coronary artery ostium through right femoral artery. First, they inserted a 0.014 inch BMW wire into LAD and a 0.014 inch Miracle 3 wire into LCX using FINECROSS 0.014 inch (1.8 Fr) Micro-Guide catheter, respectively. Next, they exchanged the Miracle 3 wire in LCX into a 0.014 inch BMW wire anchoring with a Ryujin 2.5 x 15 mm balloon and introduced further into the OM branch. Then predilatation using a Ryujin 2.5 x 15 mm balloon were performed at LM to LCX and LM to LAD, sequentially (Figure 1, Figure 2). They deployed a Resolute integrity 3.0x12 mm stent at LM to LCX (Figure 3). They performed crushing of LCX stent with a Resolute integrity 3.5 x 12 mm stent at LM to LAD (Figure 4). Additional balloon dilatations were performed with a Maverick 1.5 x 15 mm balloon and a Empira NC 3.0 x 15 mm balloon at LM to LCX and with a NC TREK 3.5x15 mm balloon at LM to LAD. Final kissing balloon dilation was performed with a NC TREK 3.5x15 mm balloon at LM to LAD and with a Empira NC 3.0 x 15 mm balloon at LM to LCX (Figure 5). Final angiogram ( Movie 3) showed that the procedure was successful. |
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