Left Main Bifurcation Lesion Treated by Kissing Stent Technique with Cypher Stents: Excellent Immediate and 6-Month Follow-Up Results

An 8F sheath was inserted through right femoral artery and the left coronary was engaged with an 8F judkins left catheter. Initially RI branch was treated with a Arthos stent 3.0 mm x 24mm at 12 atm (Figure 3). Left main to LAD and LCX were wired with two 0.014 wires. At this time, we considered ¡°kissing stenting¡± in the ostiums of LAD and LCX with covering the distal LMCA lesion. Kissing stenting technique was performed in the ostial LAD with a 3.0mm x 23mm Cypher stent at 16 atm and the ostial LCX with a 3.0mm x 13mm Cypher stent at 18atm, simultaneously (Figure 4). Additional post-dilation was also performed with kissing balloon technique with the same stent balloons (Figure 5). Final angiography showed well deployed stents in the LAD and LCX in multiple projections (Figure 6, Figure 7).
He was very happy with the result and recurrent did not occur during follow-up period. At 6-month follow-up angiography, patency of the both stents was maintained, which was observed in multiple projections (Figure 8, Figure 9).