An 8 Fr sheath was inserted through right femoral artery and left coronary artery was engaged with an 8 Fr JL 4 guiding catheter. 0.014-inch NEO`s(Sion) 180 cm wire was inserted into the LAD and 0.014-inch NEO`s(Sion) 180cm wire was inserted into the LCX. IVUS was done, showing LM bifurcation stenosis involving proximal LAD ( Movie 4) but relatively preserved LCX ostium. ( Movie 5) First pre-dilation was performed with an IKAZUCHI zero 2.5 x 15 mm balloon at the LM to pmLAD. We overlapped a Xience Alpine stent sized 3.0 x 38 mm into the pmLAD and a Xience alpine stent size 4.0 x 33 mm into the LM to pLAD. ( Movie 6) And additional kissing ballooning was performed by using Raiden 3 3.5 x 15 mm at the LM to pLAD and NC TREK 3.5 x 15 mm at pLCX ( Movie 7). Final angiogram ( Movie 8, Movie 9) and IVUS ( Movie 10) showed the successful result.
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